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
LAST UPDATED 2024-04-15 22:12:09 UTC
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