License holder summary

MICHAEL WAYNE TANKSLEY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MICHAEL WAYNE TANKSLEY is 6119 WEST JEFFERSON BLVD, FORT WAYNE IN 46804. This licensed professional license is not current. The license was granted 03/25/1993 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

MICHAEL WAYNE TANKSLEY
Controlled Substance Registration - Physician
License number
01041227B
Date granted
03/25/1993
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6119 WEST JEFFERSON BLVD, FORT WAYNE IN 46804
indianalicensing.org
ID 5854078
LAST UPDATED 2024-02-01 03:20:20 UTC

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