D THOMAS MELLIN

Controlled Substance Registration - Physician

Indiana  01029375B   Active

This Indiana license is held by D THOMAS MELLIN. The license is currently active. It was granted on 08/31/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01029375B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 08/31/1986 (about 40 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

ELKHART CLINIC, LLC, 303 S NAPPANEE ST, ELKHART IN 46514