License holder summary

Thomas Houston Black, lll is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas Houston Black, lll is 1145 INDIANAPOLIS ROAD, GREENCASTLE IN 46135. This licensed professional license is current. The license was granted 05/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Thomas Houston Black, lll
Controlled Substance Registration - Physician
License number
01024692B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1145 INDIANAPOLIS ROAD, GREENCASTLE IN 46135
indianalicensing.org
ID 5860069
LAST UPDATED 2024-04-05 19:09:48 UTC

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