License holder summary

Tucker G. Balam is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Tucker G. Balam is 715 S. Michigan Street, South Bend IN 46601-1035. This licensed professional license is not current. The license was granted 06/29/2009 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Tucker G. Balam
Controlled Substance Registration-Osteopathic Physician
License number
02003535B
Date granted
06/29/2009
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
715 S. Michigan Street, South Bend IN 46601-1035
indianalicensing.org
ID 5813799
LAST UPDATED 2024-03-20 16:44:18 UTC

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