THOMAS ERIC SIMONSEN
Controlled Substance Registration - Physician
Indiana 01031428B Expired
This Indiana license was held by THOMAS ERIC SIMONSEN. The license is no longer active. It was granted on 12/08/1981 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01031428B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/08/1981 (over 42 years ago)
- Expiry Date: 06/30/2007 (about 17 years ago)
LOCATIONS
A Address
Thomas Simonsen, 1408 OLD LANTERN TRAIL, FORT WAYNE IN 46845