License holder summary

WILFREDO TANKEKO SAULOG is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for WILFREDO TANKEKO SAULOG is 1302 COLLEGE AVENUE, GOSHEN IN 46526. This licensed professional license is not current. The license was granted 08/27/1998 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

WILFREDO TANKEKO SAULOG
Controlled Substance Registration - Physician
License number
01049414B
Date granted
08/27/1998
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1302 COLLEGE AVENUE, GOSHEN IN 46526
indianalicensing.org
ID 5859304
LAST UPDATED 2024-02-23 21:24:14 UTC

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