License holder summary

Thomas Gast is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas Gast is Radiology Inc., 620 W. Edison Rd. Ste# 110, Mishawaka IN 46545. This licensed professional license is not current. The license was granted 08/31/2011 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Thomas Gast
Controlled Substance Registration - Physician
License number
01070165B
Date granted
08/31/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Radiology Inc., 620 W. Edison Rd. Ste# 110, Mishawaka IN 46545
indianalicensing.org
ID 5896010
LAST UPDATED 2024-04-02 21:07:10 UTC

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