Indiana
Professional Licensing Agency
Eugene Francis Dy Tan
Controlled Substance Registration - Physician
License number
01070325B
Date granted
01/30/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1660 Lafayette Rd., Crawfordsville IN 47933
indianalicensing.org
ID 5840161
LAST UPDATED 2024-03-03 13:22:08 UTC
LAST UPDATED 2024-03-03 13:22:08 UTC
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