Indiana
Professional Licensing Agency
Thomas H Fairchild
Controlled Substance Registration - Physician
License number
01029453C
Date granted
06/20/1989
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2200 JOHN R WOODEN DR #107, MARTINSVILLE IN 46151
indianalicensing.org
ID 5889434
LAST UPDATED 2024-05-17 22:50:27 UTC
LAST UPDATED 2024-05-17 22:50:27 UTC
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