Indiana
Professional Licensing Agency
Tony Pham
Controlled Substance Registration-Osteopathic Physician
License number
02002847B
Date granted
09/30/2004
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Decatur County Primary Care, 718 N. Lincoln St., Ste A, Greensburg IN 47240
indianalicensing.org
ID 5801989
LAST UPDATED 2024-02-04 06:44:25 UTC
LAST UPDATED 2024-02-04 06:44:25 UTC
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