Indiana
Professional Licensing Agency
TRACY A KANGAS
Controlled Substance Registration - Physician
License number
01043885C
Date granted
06/29/1995
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
RETINA ASSOCIATES, 8550 S BROADWAY, MERRILLVILLE IN 46410
indianalicensing.org
ID 5891875
LAST UPDATED 2024-05-02 00:32:19 UTC
LAST UPDATED 2024-05-02 00:32:19 UTC
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