License holder summary

EVANGELINE CO TAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EVANGELINE CO TAN is 840 LINCOLNWAY, VALPARAISO IN 46383. This licensed professional license is not current. The license was granted 04/08/1986 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

EVANGELINE CO TAN
Controlled Substance Registration - Physician
License number
01034964B
Date granted
04/08/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
840 LINCOLNWAY, VALPARAISO IN 46383
indianalicensing.org
ID 5928514
LAST UPDATED 2024-04-22 22:12:36 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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