Indiana
Professional Licensing Agency
THOMAS L POULIN MD INC
Medical Licensing Board - Medical Corporation
License number
50001587A
Date granted
08/31/1979
Date expires
01/31/1998
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
621 MEMORIAL DRIVE SUITE 302, SOUTH BEND IN 46601
indianalicensing.org
ID 24834249
LAST UPDATED 2024-04-18 12:18:02 UTC
LAST UPDATED 2024-04-18 12:18:02 UTC
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