License holder summary

Thomas Mason Pendergast is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas Mason Pendergast is WABASH BALLEY SURGERY CENTER, 422 Poplar Street, Terre Haute IN 47807-4221. This licensed professional license is current. The license was granted 07/01/1991 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Thomas Mason Pendergast
Controlled Substance Registration - Physician
License number
01039492B
Date granted
07/01/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
WABASH BALLEY SURGERY CENTER, 422 Poplar Street, Terre Haute IN 47807-4221
indianalicensing.org
ID 5926844
LAST UPDATED 2024-02-01 08:33:28 UTC

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