Indiana
Professional Licensing Agency
Thomas P. Varied
Controlled Substance Registration - Physician
License number
01062740B
Date granted
10/06/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Reginal Medical Center, 5215 Holly Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5896074
LAST UPDATED 2024-03-17 12:54:09 UTC
LAST UPDATED 2024-03-17 12:54:09 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.