License holder summary

VISIT TANTAVICHIAN is a Physician licensed to practice in Indiana. The address on file for VISIT TANTAVICHIAN is MARION IN 46952. This licensed professional license is not current. The license was granted 07/07/1976 and expired on 06/30/1978.

Indiana

Professional Licensing Agency

VISIT TANTAVICHIAN
Physician
License number
01026913A
Date granted
07/07/1976
Date expires
06/30/1978
Class
Physician
Status
Expired Non-Renewable
Address
MARION IN 46952
indianalicensing.org
ID 6074839
LAST UPDATED 2024-03-08 01:55:38 UTC

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