Indiana
Professional Licensing Agency
BIENVENIDO V TICSAY
Controlled Substance Registration - Physician
License number
01021361B
Date granted
07/31/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1106 N ROESKE TRAIL, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892264
LAST UPDATED 2024-04-25 16:29:31 UTC
LAST UPDATED 2024-04-25 16:29:31 UTC
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