Thomas Jay Allen
Controlled Substance Registration - Dentist
Indiana 12007316B Expired
This Indiana license was held by Thomas Jay Allen. The license is no longer active. It was granted on 02/28/1986 and expired on 03/01/2010
LICENSE DETAILS
- License Number: 12007316B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 02/28/1986 (over 39 years ago)
- Expiry Date: 03/01/2010 (over 15 years ago)
LOCATIONS
A Address
Indiana Health Centers Inc., 1901 #B Western Ave., South Bend IN 46619