Indiana
Professional Licensing Agency
Tammy L. Geurkink Born
Controlled Substance Registration-Osteopathic Physician
License number
02002682B
Date granted
10/06/2003
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Crossroads Healing Arts, 21764 Omega Ct., Goshen IN 46528
indianalicensing.org
ID 5801636
LAST UPDATED 2024-03-17 00:53:13 UTC
LAST UPDATED 2024-03-17 00:53:13 UTC
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