Thomas Allan Decilles

Controlled Substance Registration - Physician

Indiana  01039988C   Active

This Indiana license is held by Thomas Allan Decilles. The license is currently active. It was granted on 02/20/2008 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01039988C
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 02/20/2008 (over 18 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

Osgood Primary Care, 112 N Buckeye Street, Osgood IN 47037