Indiana
Professional Licensing Agency
Rose Mae Tantoco
Controlled Substance Registration - Physician
License number
01069257B
Date granted
07/08/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Logansport Memorial Hospital, 1101 Michigan Ave., Logansport IN 46947
indianalicensing.org
ID 5885748
LAST UPDATED 2024-03-31 09:25:06 UTC
LAST UPDATED 2024-03-31 09:25:06 UTC
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