Indiana
Professional Licensing Agency
Edmundo N. Tan
Controlled Substance Registration - Physician
License number
01031283B
Date granted
08/01/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Bedford Regional Medical Center, 2900 W 16th Street, Bedford IN 47421
indianalicensing.org
ID 5822056
LAST UPDATED 2024-02-26 18:54:52 UTC
LAST UPDATED 2024-02-26 18:54:52 UTC
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