Indiana
Professional Licensing Agency
Thomas Joseph Bormann
Controlled Substance Registration - Dentist
License number
12009455B
Date granted
06/25/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
220 Commerce Square, Michigan City IN 46360-3282
indianalicensing.org
ID 5112047
LAST UPDATED 2024-04-17 15:10:12 UTC
LAST UPDATED 2024-04-17 15:10:12 UTC
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