Indiana
Professional Licensing Agency
Thomas James Small
Controlled Substance Registration - Physician
License number
01025451B
Date granted
12/02/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1101 WEST JEFFERSON STREET, FRANKLIN IN 46131
indianalicensing.org
ID 5855740
LAST UPDATED 2024-05-19 06:05:35 UTC
LAST UPDATED 2024-05-19 06:05:35 UTC
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