Indiana
Professional Licensing Agency
Gaurav Tandon
Controlled Substance Registration - Physician
License number
01066629B
Date granted
05/07/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
LaPorte Regional Health Hospital Attn: Jill Mewbourne, 1007 Lincoln Way, La Porte IN 46350
indianalicensing.org
ID 5877939
LAST UPDATED 2024-04-10 06:52:44 UTC
LAST UPDATED 2024-04-10 06:52:44 UTC
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