Indiana
Professional Licensing Agency
TRACEY R IKERD
Controlled Substance Registration - Physician
License number
01038248B
Date granted
05/10/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11455 N Meridian Street, Suite 200, Carmel IN 46032
indianalicensing.org
ID 5832269
LAST UPDATED 2024-04-14 05:58:10 UTC
LAST UPDATED 2024-04-14 05:58:10 UTC
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