License holder summary

THOMAS WILLITS HERENDEEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for THOMAS WILLITS HERENDEEN is EAR NOSE & THROAT ASSOC PC, 10021 DUPONT CIRCLE COURT, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 07/01/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

THOMAS WILLITS HERENDEEN
Controlled Substance Registration - Physician
License number
01041576B
Date granted
07/01/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
EAR NOSE & THROAT ASSOC PC, 10021 DUPONT CIRCLE COURT, Fort Wayne IN 46825
indianalicensing.org
ID 5854665
LAST UPDATED 2024-03-20 20:59:11 UTC

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