Indiana
Professional Licensing Agency
Tiffany Bianca Ward
Controlled Substance Registration - Physician
License number
01069107B
Date granted
01/11/2011
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Memorial Hospital & Health Care Ctr., 800 West Ninth Street, Jasper IN 47546
indianalicensing.org
ID 5872163
LAST UPDATED 2024-03-25 12:13:20 UTC
LAST UPDATED 2024-03-25 12:13:20 UTC
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