Thomas Mark Malott
Physician Assistant
Indiana 10000749A Superceded
This Indiana license was held by Thomas Mark Malott. The license is no longer active. It was granted on 03/09/2005 and expired on 06/30/2006
LICENSE DETAILS
- License Number: 10000749A
- Category: Physician Assistant
- Status: Superceded
- Date Granted: 03/09/2005 (over 19 years ago)
- Expiry Date: 06/30/2006 (about 18 years ago)
LOCATIONS
A Address
Walton IN 46994