License holder summary

Thomas Patrick Broderick is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas Patrick Broderick is 1891 EAST 600 SOUTH, JONESBORO IN 46938. This licensed professional license is not current. The license was granted 05/18/1994 and expired on 06/30/2001.

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 2026-08-02 01:10:57 UTC

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