Indiana
Professional Licensing Agency
Tabitha Guhl Luecker
Controlled Substance Registration - Physician
License number
01040765C
Date granted
06/12/2001
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PORTER MEMORIAL HOSPITAL, 814 LAPORTE AVENUE, Valparaiso IN 46383
indianalicensing.org
ID 5929913
LAST UPDATED 2024-04-08 05:53:38 UTC
LAST UPDATED 2024-04-08 05:53:38 UTC
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