Indiana
Professional Licensing Agency
Virginia Ann Dangerfield Takagi
Controlled Substance Registration - Physician
License number
01068193B
Date granted
07/02/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1125 West Jefferson Street, Suite S200, Franklin IN 46131
indianalicensing.org
ID 5855749
LAST UPDATED 2024-02-20 15:43:07 UTC
LAST UPDATED 2024-02-20 15:43:07 UTC
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