Indiana
Professional Licensing Agency
Pamela H. Snook-Tidd
Controlled Substance Registration - Physician
License number
01047138B
Date granted
07/20/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
SEYMOUR FAMILY PHYSICIANS, 225 S PINE ST STE 225, SEYMOUR IN 47274
indianalicensing.org
ID 5918818
LAST UPDATED 2024-05-23 08:16:35 UTC
LAST UPDATED 2024-05-23 08:16:35 UTC
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