Indiana
Professional Licensing Agency
Emily Joy Tan
Controlled Substance Registration - Physician
License number
01070555B
Date granted
01/09/2012
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Jasper Pediatric Associates, 721 West 13th Street, Suite# 321, Jasper IN 47546
indianalicensing.org
ID 5871506
LAST UPDATED 2024-04-08 06:06:28 UTC
LAST UPDATED 2024-04-08 06:06:28 UTC
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