Indiana
Professional Licensing Agency
Eugene M. Tanquilut
Controlled Substance Registration-Osteopathic Physician
License number
02002492C
Date granted
04/26/2010
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
St. Margaret Hospital c/o Medical Staff Office, 24 Joliet St., Dyer IN 46311
indianalicensing.org
ID 5798480
LAST UPDATED 2024-04-12 20:01:16 UTC
LAST UPDATED 2024-04-12 20:01:16 UTC
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