Indiana
Professional Licensing Agency
Azlan Tariq
Controlled Substance Registration-Osteopathic Physician
License number
02004156B
Date granted
03/22/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Spring Mill Health Campus, 101 West 87th Avenue, Merrillville IN 46410
indianalicensing.org
ID 5808663
LAST UPDATED 2024-04-04 12:59:18 UTC
LAST UPDATED 2024-04-04 12:59:18 UTC
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