Thomas Albert Stump
Controlled Substance Registration - Physician
Indiana 01015282B Expired
This Indiana license was held by Thomas Albert Stump. The license is no longer active. It was granted on 01/31/1987 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01015282B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/31/1987 (over 38 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
3607 BAY ROAD NORTH DRIVE, INDIANAPOLIS IN 46240