License holder summary

RENATO LAYUG TANQUILUT is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RENATO LAYUG TANQUILUT is Lakeside Surgery Center, 810 West Chicago Avenue, East Chicago IN 46312. This licensed professional license is current. The license was granted 10/27/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

RENATO LAYUG TANQUILUT
Controlled Substance Registration - Physician
License number
01041921B
Date granted
10/27/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lakeside Surgery Center, 810 West Chicago Avenue, East Chicago IN 46312
indianalicensing.org
ID 5845942
LAST UPDATED 2024-03-17 22:26:56 UTC

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