Indiana
Professional Licensing Agency
Thomas R. Hickman
Controlled Substance Registration - Dentist
License number
12006946B
Date granted
07/31/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
A MEDICAL CENTER, 1481 W 10TH STREET, INDIANAPOLIS IN 46202
indianalicensing.org
ID 5104664
LAST UPDATED 2024-03-31 06:03:25 UTC
LAST UPDATED 2024-03-31 06:03:25 UTC
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