Indiana
Professional Licensing Agency
Derek Lewis Tennenhouse
Controlled Substance Registration - Physician
License number
01056104B
Date granted
04/30/2002
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Southwest Center for Women's Health, 1205 Hadley Road, Mooresville IN 46158
indianalicensing.org
ID 5896915
LAST UPDATED 2024-04-07 12:02:28 UTC
LAST UPDATED 2024-04-07 12:02:28 UTC
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