Indiana
Professional Licensing Agency
Sarah A. Tieman
Controlled Substance Registration - Physician
License number
01055106B
Date granted
12/27/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5825 S. Sexton Springs Rd., Springville IN 47462
indianalicensing.org
ID 5922910
LAST UPDATED 2024-04-20 13:42:31 UTC
LAST UPDATED 2024-04-20 13:42:31 UTC
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