License holder summary

Thomas James Fabricius is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas James Fabricius is ST JOSEPHS FAMILY PRACTICE RES PROGRAM, 801 E LASALLE AVE PO BOX 1935, SOUTH BEND IN 46634. This licensed professional license is not current. The license was granted 07/21/1999 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Thomas James Fabricius
Controlled Substance Registration - Physician
License number
01050947B
Date granted
07/21/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST JOSEPHS FAMILY PRACTICE RES PROGRAM, 801 E LASALLE AVE PO BOX 1935, SOUTH BEND IN 46634
indianalicensing.org
ID 5922387
LAST UPDATED 2024-02-23 21:00:53 UTC

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