Indiana
Professional Licensing Agency
CLIFTON M TATUM JR
Physician
License number
01035573A
Date granted
10/23/1986
Date expires
06/30/1989
Class
Physician
Status
Expired Non-Renewable
Address
GOSHEN KY 40026
indianalicensing.org
ID 6056388
LAST UPDATED 2024-03-04 20:26:25 UTC
LAST UPDATED 2024-03-04 20:26:25 UTC
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