Thomas Mark Malott
Temporary Physician Assistant Permit
Indiana 99004146A Superceded
This Indiana license was held by Thomas Mark Malott. The license is no longer active. It was granted on 10/01/2001 and expired on 07/01/2002
LICENSE DETAILS
- License Number: 99004146A
- Category: Temporary PA Permit
- Status: Superceded
- Date Granted: 10/01/2001 (over 22 years ago)
- Expiry Date: 07/01/2002 (about 22 years ago)
LOCATIONS
A Address
Walton IN 46994