Indiana
Professional Licensing Agency
DATCHEN FRITZ TAI M D P C
Medical Licensing Board - Medical Corporation
License number
50003402A
Date granted
01/13/1991
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2929 MCINTYRE DRIVE, BLOOMINGTON IN 47403
indianalicensing.org
ID 24823932
LAST UPDATED 2026-04-22 11:52:42 UTC
LAST UPDATED 2026-04-22 11:52:42 UTC
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