License holder summary

PATRICK ALLEN TIDMAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PATRICK ALLEN TIDMAN is PO BOX 62, BERNE IN 46711. This licensed professional license is not current. The license was granted 01/31/1984 and expired on 01/31/1986.

Indiana

Professional Licensing Agency

PATRICK ALLEN TIDMAN
Controlled Substance Registration - Physician
License number
01028100B
Date granted
01/31/1984
Date expires
01/31/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PO BOX 62, BERNE IN 46711
indianalicensing.org
ID 5823322
LAST UPDATED 2024-03-15 13:09:37 UTC

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