Indiana
Professional Licensing Agency
Thomas James Martin
Controlled Substance Registration - Physician
License number
01037295B
Date granted
05/05/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4875 N. Thomas Road, Bloomington IN 47404
indianalicensing.org
ID 5825962
LAST UPDATED 2024-03-25 05:06:13 UTC
LAST UPDATED 2024-03-25 05:06:13 UTC
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