MICHAEL KENT THOMPSON

Controlled Substance Registration - Physician

Indiana  01044686B   Expired

This Indiana license was held by MICHAEL KENT THOMPSON. The license is no longer active. It was granted on 01/25/1996 and expired on 06/30/1997

LICENSE DETAILS

  • License Number: 01044686B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 01/25/1996 (over 28 years ago)
  • Expiry Date: 06/30/1997 (almost 27 years ago)

LOCATIONS

A Address

HOME HOSPITAL EMERGENCY DEPT %DR GARRY, 2400 SOUTH STREET, LAFAYETTE IN 47904