Larry Thomas Micon

Controlled Substance Registration - Physician

Indiana  01031976B   Active

This Indiana license is held by Larry Thomas Micon. The license is currently active. It was granted on 12/31/1985 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01031976B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 12/31/1985 (over 39 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

13940 Southeastern Parkway, Suite 202, Fishers IN 46037