AMBER DION DAREY THOMAS

Controlled Substance Registration - Physician

Indiana  01051944B   Expired

This Indiana license was held by AMBER DION DAREY THOMAS. The license is no longer active. It was granted on 02/28/2000 and expired on 06/30/2003

LICENSE DETAILS

  • License Number: 01051944B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 02/28/2000 (over 26 years ago)
  • Expiry Date: 06/30/2003 (about 23 years ago)

LOCATIONS

A Address

MEMORIAL FAMILY PRACTICE, 714 N MICHIGAN, SOUTH BEND IN 46601