License holder summary

Ross David Tannebaum is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ross David Tannebaum is MEMORIAL HOSP-EMERGENCY SERV, FIFTH & PINE STREET, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 12/11/1991 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

Ross David Tannebaum
Controlled Substance Registration - Physician
License number
01039740B
Date granted
12/11/1991
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEMORIAL HOSP-EMERGENCY SERV, FIFTH & PINE STREET, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893546
LAST UPDATED 2024-03-07 20:48:11 UTC

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