Indiana
Professional Licensing Agency
Tangeneare Desiree Ward
Physician
License number
01055041A
Date granted
09/25/2001
Date expires
06/30/2011
Class
Physician
Status
Expired Non-Renewable
Address
Clarksville TN 37040
indianalicensing.org
ID 6039156
LAST UPDATED 2024-02-24 19:43:03 UTC
LAST UPDATED 2024-02-24 19:43:03 UTC
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