Mark Alfred Thomas
Controlled Substance Registration - Physician
Indiana 01053684B Expired
This Indiana license was held by Mark Alfred Thomas. The license is no longer active. It was granted on 06/13/2001 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01053684B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/13/2001 (about 24 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Address
Community Rural Health Clinic, 1207 East National Avenue, Brazil IN 47834