THOMAS JAMES QUILTY
Controlled Substance Registration - Physician
Indiana 01017592B Expired
This Indiana license was held by THOMAS JAMES QUILTY. The license is no longer active. It was granted on 06/30/1983 and expired on 06/30/1984
LICENSE DETAILS
- License Number: 01017592B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/30/1983 (about 42 years ago)
- Expiry Date: 06/30/1984 (about 41 years ago)
LOCATIONS
A Address
112 E. MADISON ST., GOSHEN IN 46526