Indiana
Professional Licensing Agency
Thomas Patrick Broderick
Controlled Substance Registration - Physician
License number
01042408B
Date granted
05/18/1994
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1891 EAST 600 SOUTH, JONESBORO IN 46938
indianalicensing.org
ID 5874678
LAST UPDATED 2024-02-23 08:20:10 UTC
LAST UPDATED 2024-02-23 08:20:10 UTC
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