Indiana
Professional Licensing Agency
Thomas Wayne Childress, Jr.
Controlled Substance Registration - Podiatrist
License number
07001168B
Date granted
01/16/2014
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
Metro Speciality Surgery, 200 Missouri Avenue # 18, Jeffersonville IN 47130
indianalicensing.org
ID 29197190
LAST UPDATED 2024-03-04 02:51:11 UTC
LAST UPDATED 2024-03-04 02:51:11 UTC
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