License holder summary

Thomas Raymond Vidic is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas Raymond Vidic is Elkhart Clinic, LLC, 303 S. Nappanee Street, Elkhart IN 46514. This licensed professional license is current. The license was granted 07/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Thomas Raymond Vidic
Controlled Substance Registration - Physician
License number
01033614B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Elkhart Clinic, LLC, 303 S. Nappanee Street, Elkhart IN 46514
indianalicensing.org
ID 5848620
LAST UPDATED 2024-03-03 14:50:42 UTC

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