License holder summary

DARRYL A TANNENBAUM is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DARRYL A TANNENBAUM is SOUTHERN INDIANA ORTHOPEDICS, 940 NORTH MARR ROAD, COLUMBUS IN 47201. This licensed professional license is current. The license was granted 12/05/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

DARRYL A TANNENBAUM
Controlled Substance Registration - Physician
License number
01046006B
Date granted
12/05/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
SOUTHERN INDIANA ORTHOPEDICS, 940 NORTH MARR ROAD, COLUMBUS IN 47201
indianalicensing.org
ID 5836019
LAST UPDATED 2024-05-01 08:08:36 UTC

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