Indiana
Professional Licensing Agency
Willis Arnold Tacker, JR
Controlled Substance Registration - Physician
License number
01025202B
Date granted
02/28/1986
Date expires
02/28/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
IIES/B MEC, PORTER BLDG #204 PURDUE IU, WEST LAFAYETTE IN 47907
indianalicensing.org
ID 5934689
LAST UPDATED 2024-04-11 05:43:03 UTC
LAST UPDATED 2024-04-11 05:43:03 UTC
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