License holder summary

Thomas Jay Allen is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Thomas Jay Allen is Indiana Health Centers Inc., 1901 #B Western Ave., South Bend IN 46619. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Thomas Jay Allen
Controlled Substance Registration - Dentist
License number
12007316B
Date granted
02/28/1986
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Indiana Health Centers Inc., 1901 #B Western Ave., South Bend IN 46619
indianalicensing.org
ID 5123714
LAST UPDATED 2024-04-20 10:55:37 UTC

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