THOMAS EDWARD DE GRAVE
Controlled Substance Registration-Osteopathic Physician
Indiana 02001092B Expired
This Indiana license was held by THOMAS EDWARD DE GRAVE. The license is no longer active. It was granted on 09/19/1989 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 02001092B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 09/19/1989 (over 34 years ago)
- Expiry Date: 06/30/1993 (almost 31 years ago)
LOCATIONS
A Address
2201 LINCOLNWAY WEST, SOUTH BEND IN 46628