Indiana
Professional Licensing Agency
Benjamin Banchong Tang
Controlled Substance Registration - Physician
License number
01033529B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5521 West Lincoln Hwy, Suite 300, Crown Point IN 46307
indianalicensing.org
ID 5840761
LAST UPDATED 2024-03-14 17:57:24 UTC
LAST UPDATED 2024-03-14 17:57:24 UTC
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