Thomas Fordham Brewer
Controlled Substance Registration - Physician
Indiana 01051770B Expired
This Indiana license was held by Thomas Fordham Brewer. The license is no longer active. It was granted on 12/03/1999 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01051770B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/03/1999 (over 26 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
4000 TULIP TREE DRIVE, Princeton IN 47670