License holder summary

Tom Xiaolin Tan is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Tom Xiaolin Tan is Fayette Memorial Hosp, 1941 Virginia Ave, Connersville IN 47331. This licensed professional license is not current. The license was granted 06/18/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Tom Xiaolin Tan
Controlled Substance Registration - Physician
License number
01050164C
Date granted
06/18/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Fayette Memorial Hosp, 1941 Virginia Ave, Connersville IN 47331
indianalicensing.org
ID 5838362
LAST UPDATED 2024-04-03 17:26:52 UTC

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