Indiana
Professional Licensing Agency
Loris Antonio Tisocco
Controlled Substance Registration - Physician
License number
01038407B
Date granted
11/21/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
275 Joliet Street, Suite 225, Galleria Bldg, Dyer IN 46311
indianalicensing.org
ID 5844442
LAST UPDATED 2024-04-06 07:57:55 UTC
LAST UPDATED 2024-04-06 07:57:55 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.