Indiana
Professional Licensing Agency
Tamara Loewen Hazbun
Controlled Substance Registration - Physician
License number
01061453B
Date granted
09/04/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1500 Salem Street, Lafayette IN 47904
indianalicensing.org
ID 5880778
LAST UPDATED 2024-05-12 01:28:39 UTC
LAST UPDATED 2024-05-12 01:28:39 UTC
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