Indiana
Professional Licensing Agency
Mely C. Tan Tan
Controlled Substance Registration - Physician
License number
01031700B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Munster Medical Services, 8242 Calumet Ave, Munster IN 46321
indianalicensing.org
ID 5901009
LAST UPDATED 2024-02-11 09:29:55 UTC
LAST UPDATED 2024-02-11 09:29:55 UTC
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