License holder summary

Tina Le is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Tina Le is Grant Blackford Mental Health, 505 Wabash Avenue, Marion IN 46952-2680. This licensed professional license is current. The license was granted 09/01/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Tina Le
Controlled Substance Registration - Physician
License number
01067249B
Date granted
09/01/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Grant Blackford Mental Health, 505 Wabash Avenue, Marion IN 46952-2680
indianalicensing.org
ID 5888939
LAST UPDATED 2024-04-15 22:12:09 UTC

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