Indiana
Professional Licensing Agency
Thomas R Radice
Controlled Substance Registration - Physician
License number
01049054B
Date granted
07/16/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
P O Box 7, 1141 Hospital Drive North West, Corydon IN 47112
indianalicensing.org
ID 5839252
LAST UPDATED 2024-03-26 16:40:39 UTC
LAST UPDATED 2024-03-26 16:40:39 UTC
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