Indiana
Professional Licensing Agency
Victor Tirabasso
Controlled Substance Registration - Physician
License number
01060085B
Date granted
01/06/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Memorial Hospital, 800 West 9th Street, Jasper IN 47546
indianalicensing.org
ID 5872190
LAST UPDATED 2026-03-27 14:04:29 UTC
LAST UPDATED 2026-03-27 14:04:29 UTC
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