Thomas Allan Decilles

Controlled Substance Registration - Physician

Indiana  01039988B   Expired

This Indiana license was held by Thomas Allan Decilles. The license is no longer active. It was granted on 08/11/1992 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: 01039988B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 08/11/1992 (almost 34 years ago)
  • Expiry Date: 06/30/2007 (almost 19 years ago)

LOCATIONS

A Address

Brookville Immediate Care, 11137 US Hwy 52, Brookville IN 47012