Indiana
Professional Licensing Agency
Georgia Kaye Tye
Controlled Substance Registration - Physician
License number
01030171B
Date granted
08/15/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Fayetville Regional Health Systems, 1941 Virginia Avenue, Connersville IN 47331
indianalicensing.org
ID 5837824
LAST UPDATED 2024-03-22 17:29:25 UTC
LAST UPDATED 2024-03-22 17:29:25 UTC
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