Indiana
Professional Licensing Agency
THOMAS PORTER TANNER
Controlled Substance Registration - Dentist
License number
12005162B
Date granted
07/31/1986
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
614 S EDDY STREET, SOUTH BEND IN 46615
indianalicensing.org
ID 5123736
LAST UPDATED 2024-04-06 07:59:03 UTC
LAST UPDATED 2024-04-06 07:59:03 UTC
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