Indiana
Professional Licensing Agency
Charles William Tattersall
Controlled Substance Registration - Physician
License number
01059210B
Date granted
05/28/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
8865 W. 400 N., Suite 175, Michigan City IN 46360
indianalicensing.org
ID 5892335
LAST UPDATED 2024-05-06 15:50:10 UTC
LAST UPDATED 2024-05-06 15:50:10 UTC
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