Indiana
Professional Licensing Agency
Tracy J. Tacket
Controlled Substance Registration-Osteopathic Physician
License number
02001267B
Date granted
08/22/1991
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
625 ROOSEVELT STREET, WALKERTON IN 46574
indianalicensing.org
ID 5815321
LAST UPDATED 2024-02-02 03:58:30 UTC
LAST UPDATED 2024-02-02 03:58:30 UTC
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