Indiana
Professional Licensing Agency
Glenn A Tuckman
Controlled Substance Registration - Physician
License number
01039553C
Date granted
12/11/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Center for Diagnostic Imaging, 3738 Landmark Drive, Suite D, Lafayette IN 47905
indianalicensing.org
ID 5879483
LAST UPDATED 2024-03-19 11:47:43 UTC
LAST UPDATED 2024-03-19 11:47:43 UTC
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