License holder summary

Eugene Francis Dy Tan is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Eugene Francis Dy Tan is 1660 Lafayette Rd., Crawfordsville IN 47933. This licensed professional license is current. The license was granted 01/30/2012 and expired on 10/31/2015.

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

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