License holder summary

LORI ANNE TACKMAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for LORI ANNE TACKMAN is 404 WEST CAMP STREET, LEBANON IN 46052. This licensed professional license is not current. The license was granted 10/25/1996 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

LORI ANNE TACKMAN
Controlled Substance Registration - Physician
License number
01045929B
Date granted
10/25/1996
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
404 WEST CAMP STREET, LEBANON IN 46052
indianalicensing.org
ID 5883887
LAST UPDATED 2024-05-15 13:39:13 UTC

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