License holder summary

Tracy Dallman is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Tracy Dallman is ST. FRANCIS HOSPITAL, 1600 ALBANY STREET, BEECH GROVE IN 46107. This licensed professional license is current. The license was granted 02/01/2002 and expired on 10/31/2015.

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 2024-03-15 05:53:14 UTC

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