Indiana
Professional Licensing Agency
Olivia Grayce Tack
Physician
License number
01062281A
Date granted
05/31/2006
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Granger IN 46530
indianalicensing.org
ID 6057461
LAST UPDATED 2026-03-23 02:39:46 UTC
LAST UPDATED 2026-03-23 02:39:46 UTC
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