License holder summary

Ebenezer Mbo Tayui is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ebenezer Mbo Tayui is St. Margaret Mercy, attn: Med Staff Off, 5454 Hohman Ave, Hammond IN 46320. This licensed professional license is current. The license was granted 07/22/2003 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Ebenezer Mbo Tayui
Controlled Substance Registration - Physician
License number
01057882B
Date granted
07/22/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Margaret Mercy, attn: Med Staff Off, 5454 Hohman Ave, Hammond IN 46320
indianalicensing.org
ID 5863804
LAST UPDATED 2024-04-24 02:22:34 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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