Indiana
Professional Licensing Agency
Tara S. Fox
Controlled Substance Registration - Podiatrist
License number
07001114B
Date granted
06/07/2011
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
Center for Podiatric Medicine, 9105-A Indianapolis Blvd., Suite 102, Highland IN 46322
indianalicensing.org
ID 8430696
LAST UPDATED 2024-02-13 12:23:35 UTC
LAST UPDATED 2024-02-13 12:23:35 UTC
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