W CLAYTON THOMAS
Controlled Substance Registration - Physician
Indiana 01017148B Surrendered
This Indiana license was held by W CLAYTON THOMAS. The license is no longer active. It was granted on 07/31/1986 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01017148B
- Category: CSR-Physician
- Status: Surrendered
- Date Granted: 07/31/1986 (almost 39 years ago)
- Expiry Date: 06/30/1997 (almost 28 years ago)
LOCATIONS
A Address
331 JACKSON ST PO BOX 649, CICERO IN 46034