License holder summary

DONALD JAY TANIS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DONALD JAY TANIS is 9122 COLUMBIA AVE, MUNSTER IN 46321. This licensed professional license is not current. The license was granted 08/29/1996 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

DONALD JAY TANIS
Controlled Substance Registration - Physician
License number
01045665B
Date granted
08/29/1996
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
9122 COLUMBIA AVE, MUNSTER IN 46321
indianalicensing.org
ID 5900146
LAST UPDATED 2024-04-30 07:50:40 UTC

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