Indiana
Professional Licensing Agency
Tracy Ann Haertling
Controlled Substance Registration-Osteopathic Physician
License number
02004056B
Date granted
08/03/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Memorial Hospital of South Bend, 615 N Michigan Street, South Bend IN 46601
indianalicensing.org
ID 5813763
LAST UPDATED 2024-04-27 05:28:17 UTC
LAST UPDATED 2024-04-27 05:28:17 UTC
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