Indiana
Professional Licensing Agency
Tracy Dallman
Controlled Substance Registration - Physician
License number
01051055B
Date granted
02/01/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ST. FRANCIS HOSPITAL, 1600 ALBANY STREET, BEECH GROVE IN 46107
indianalicensing.org
ID 5823293
LAST UPDATED 2026-06-07 11:44:53 UTC
LAST UPDATED 2026-06-07 11:44:53 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.