Indiana
Professional Licensing Agency
JEAN E TUCKER
Controlled Substance Registration - Physician
License number
01038205B
Date granted
04/20/1990
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1210 MEDICAL ARTS BLVD #300, ANDERSON IN 46011
indianalicensing.org
ID 5817379
LAST UPDATED 2024-04-20 10:43:04 UTC
LAST UPDATED 2024-04-20 10:43:04 UTC
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