Indiana
Professional Licensing Agency
Tanya Richardson
Physician
License number
01052656A
Date granted
07/12/2000
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Munster IN 46321
indianalicensing.org
ID 6085325
LAST UPDATED 2024-04-15 23:45:55 UTC
LAST UPDATED 2024-04-15 23:45:55 UTC
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