G RENEE THOMAS CLARK
Controlled Substance Registration-Osteopathic Physician
Indiana 02001465B Expired
This Indiana license was held by G RENEE THOMAS CLARK. The license is no longer active. It was granted on 08/09/1993 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 02001465B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 08/09/1993 (almost 31 years ago)
- Expiry Date: 06/30/1997 (almost 27 years ago)
LOCATIONS
A Address
MADISON CENTER, 403 E MADISON, SOUTH BEND IN 46617