License holder summary

Tatek K. Takele is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Tatek K. Takele is La Porte Regional Health System, Credentialing Office, 1007 Lincolnway, La Porte IN 46350. This licensed professional license is not current. The license was granted 09/30/2008 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Tatek K. Takele
Controlled Substance Registration - Physician
License number
01065859B
Date granted
09/30/2008
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
La Porte Regional Health System, Credentialing Office, 1007 Lincolnway, La Porte IN 46350
indianalicensing.org
ID 5878568
LAST UPDATED 2026-03-26 12:42:02 UTC

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