Indiana
Professional Licensing Agency
MARY ELIZABETH TISSERAND
Controlled Substance Registration - Physician
License number
01037184B
Date granted
05/30/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3700 BELLEMEADE AVE SUITE 200, EVANSVILLE IN 47714
indianalicensing.org
ID 5850622
LAST UPDATED 2026-05-04 04:40:47 UTC
LAST UPDATED 2026-05-04 04:40:47 UTC
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