Indiana
Professional Licensing Agency
Charles A. Tollett, Jr
Controlled Substance Registration - Physician
License number
01042157B
Date granted
01/27/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
407 East 22nd Street, Huntingburg IN 47542
indianalicensing.org
ID 5868239
LAST UPDATED 2024-04-18 13:28:50 UTC
LAST UPDATED 2024-04-18 13:28:50 UTC
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