Indiana
Professional Licensing Agency
Tanya Mary Abraham
Controlled Substance Registration - Physician
License number
01072579B
Date granted
05/07/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
13121 Olio Road, Suite 340, Fishers IN 46037
indianalicensing.org
ID 5907488
LAST UPDATED 2024-04-20 09:48:25 UTC
LAST UPDATED 2024-04-20 09:48:25 UTC
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