Indiana
Professional Licensing Agency
Tanya Ann Wiese
Controlled Substance Registration-Osteopathic Physician
License number
02002644B
Date granted
07/08/2003
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Kentuckiana Pulmonary Associates, 207 Sparks Ave., Ste 402, Jeffersonville IN 47130
indianalicensing.org
ID 5806263
LAST UPDATED 2024-04-06 02:57:20 UTC
LAST UPDATED 2024-04-06 02:57:20 UTC
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