Indiana
Professional Licensing Agency
Tamera Lyn Vandegriff
Controlled Substance Registration - Physician
License number
01057931B
Date granted
03/11/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1258 Oak Street Suite C, Frankfort IN 46041
indianalicensing.org
ID 5855315
LAST UPDATED 2024-04-12 05:28:00 UTC
LAST UPDATED 2024-04-12 05:28:00 UTC
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