License holder summary

THOMAS JAMES QUILTY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for THOMAS JAMES QUILTY is 112 E. MADISON ST., GOSHEN IN 46526. This licensed professional license is not current. The license was granted 06/30/1983 and expired on 06/30/1984.

Indiana

Professional Licensing Agency

THOMAS JAMES QUILTY
Controlled Substance Registration - Physician
License number
01017592B
Date granted
06/30/1983
Date expires
06/30/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
112 E. MADISON ST., GOSHEN IN 46526
indianalicensing.org
ID 5859221
LAST UPDATED 2024-02-29 21:54:12 UTC

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