Indiana
Professional Licensing Agency
Virginia Tan Tabib
Controlled Substance Registration - Physician
License number
01032934B
Date granted
09/30/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
456 Scarborough Road, Valparaiso IN 46385
indianalicensing.org
ID 5930203
LAST UPDATED 2024-04-22 07:40:29 UTC
LAST UPDATED 2024-04-22 07:40:29 UTC
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