Indiana
Professional Licensing Agency
TATIANA X EUGENIDES
Controlled Substance Registration - Physician
License number
01019004B
Date granted
06/30/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7227 WEST 87TH AVENUE, CROWN POINT IN 46307
indianalicensing.org
ID 5841951
LAST UPDATED 2024-04-14 12:42:39 UTC
LAST UPDATED 2024-04-14 12:42:39 UTC
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