Indiana
Professional Licensing Agency
Thomas P. Mengelt
Controlled Substance Registration - Physician
License number
01024390C
Date granted
11/14/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community VNA, 9894 E. 121st Street, Fishers IN 46038
indianalicensing.org
ID 5852370
LAST UPDATED 2024-04-04 23:46:01 UTC
LAST UPDATED 2024-04-04 23:46:01 UTC
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