Indiana
Professional Licensing Agency
Thomas John Petrin
Controlled Substance Registration - Physician
License number
01024966B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11911 North Meridian Street, Suite #100, Carmel IN 46032
indianalicensing.org
ID 5832231
LAST UPDATED 2024-04-12 02:19:55 UTC
LAST UPDATED 2024-04-12 02:19:55 UTC
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