License holder summary

VICTORIANO JOSE TADATADA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for VICTORIANO JOSE TADATADA is 309 JACKSON STREET, SALEM IN 47167. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

VICTORIANO JOSE TADATADA
Controlled Substance Registration - Physician
License number
01023765B
Date granted
07/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
309 JACKSON STREET, SALEM IN 47167
indianalicensing.org
ID 5916825
LAST UPDATED 2024-02-16 01:27:20 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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