License holder summary

Thomas George Gaylord is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas George Gaylord is 2032 FOXCLIFF N, MARTINSVILLE IN 46151. This licensed professional license is not current. The license was granted 03/31/1982 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Thomas George Gaylord
Controlled Substance Registration - Physician
License number
01028093B
Date granted
03/31/1982
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2032 FOXCLIFF N, MARTINSVILLE IN 46151
indianalicensing.org
ID 5889423
LAST UPDATED 2024-03-12 17:54:32 UTC

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