Thomas Edgar Staley

Controlled Substance Registration - Physician

Indiana  01030863B   Expired

This Indiana license was held by Thomas Edgar Staley. The license is no longer active. It was granted on 06/24/1981 and expired on 06/30/1984

LICENSE DETAILS

  • License Number: 01030863B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 06/24/1981 (almost 44 years ago)
  • Expiry Date: 06/30/1984 (almost 41 years ago)

LOCATIONS

A Address

2009 BROWN STREET, ANDERSON IN 46014