Indiana
Professional Licensing Agency
Atanacio H Tiongson
Controlled Substance Registration - Physician
License number
01028875B
Date granted
01/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1315 SMITH STREET, LOGANSPORT IN 46947
indianalicensing.org
ID 5884700
LAST UPDATED 2026-05-26 03:15:10 UTC
LAST UPDATED 2026-05-26 03:15:10 UTC
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