Indiana
Professional Licensing Agency
Donn Bantoto Tiu Tong
Controlled Substance Registration - Physician
License number
01070788B
Date granted
03/09/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Good Samaritan Hospital Physician Services, Inc., 611 East Main Street, Petersburg IN 47567-1247
indianalicensing.org
ID 5909697
LAST UPDATED 2024-04-16 14:52:50 UTC
LAST UPDATED 2024-04-16 14:52:50 UTC
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