Thomas James Fabricius
Controlled Substance Registration - Physician
Indiana 01050947B Expired
This Indiana license was held by Thomas James Fabricius. The license is no longer active. It was granted on 07/21/1999 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01050947B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/21/1999 (almost 27 years ago)
- Expiry Date: 06/30/2001 (almost 25 years ago)
LOCATIONS
A Address
ST JOSEPHS FAMILY PRACTICE RES PROGRAM, 801 E LASALLE AVE PO BOX 1935, SOUTH BEND IN 46634