Indiana
Professional Licensing Agency
TAMMY NICOLETTE DURHAM
Controlled Substance Registration-Osteopathic Physician
License number
02002205B
Date granted
07/14/2000
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
3660 Guion Rd Ste 310, Indianapolis IN 46222
indianalicensing.org
ID 5805796
LAST UPDATED 2024-03-20 01:20:57 UTC
LAST UPDATED 2024-03-20 01:20:57 UTC
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