Indiana
Professional Licensing Agency
Purificacion Foronda Tumbaga
Controlled Substance Registration - Physician
License number
01074168B
Date granted
06/16/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Regional, 5215 Holy Cross PKWY, Mishawaka IN 46545
indianalicensing.org
ID 27714977
LAST UPDATED 2026-06-04 23:18:18 UTC
LAST UPDATED 2026-06-04 23:18:18 UTC
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