License holder summary

Tatum Family Practice is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Tatum Family Practice is 1619 West 5th Avenue, Gary IN 46404-1506. This licensed professional license is not current. The license was granted 01/10/2002 and expired on 01/02/2003.

Indiana

Professional Licensing Agency

Tatum Family Practice
Radiology - Radiation Facility Medical
License number
XF200856
Date granted
01/10/2002
Date expires
01/02/2003
Class
Radiology - Radiation Facility Medical
Status
Expired
Address
1619 West 5th Avenue, Gary IN 46404-1506
indianalicensing.org
ID 24942245
LAST UPDATED 2024-04-25 03:43:41 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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