License holder summary

Thomas Mark Malott is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Thomas Mark Malott is Dukes Physicians Services, LLC, 285 W 12th Street Ste 112, Peru IN 46970. This licensed professional license is current. The license was granted 06/05/2009 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Thomas Mark Malott
Controlled Substance Registration-Physician Assistant
License number
10000716B
Date granted
06/05/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Dukes Physicians Services, LLC, 285 W 12th Street Ste 112, Peru IN 46970
indianalicensing.org
ID 8388289
LAST UPDATED 2024-01-13 03:31:39 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with Thomas Mark Malott's work? Add a comment below. You can write anonymously and without having to create an account.