Indiana
Professional Licensing Agency
Tatyana Rashelle Demidovich
Controlled Substance Registration - Physician
License number
01059495B
Date granted
07/09/2004
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Margaret Mercy Hospital/Medical Staff Office, 5454 Hohman Ave., Hammond IN 46320
indianalicensing.org
ID 5865560
LAST UPDATED 2024-04-03 21:51:37 UTC
LAST UPDATED 2024-04-03 21:51:37 UTC
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