Indiana
Professional Licensing Agency
Tanya Richardson
Controlled Substance Registration - Physician
License number
01052656C
Date granted
06/23/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Mary Medical Center, 1500 South Lake Park Avenue, Hobart IN 46342
indianalicensing.org
ID 27709088
LAST UPDATED 2024-03-19 04:29:12 UTC
LAST UPDATED 2024-03-19 04:29:12 UTC
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