ANTHONY ADAM TANANIS
Controlled Substance Registration - Physician
Indiana 01032259B Expired
This Indiana license was held by ANTHONY ADAM TANANIS. The license is no longer active. It was granted on 02/28/1986 and expired on 06/30/1989
LICENSE DETAILS
- License Number: 01032259B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/28/1986 (over 39 years ago)
- Expiry Date: 06/30/1989 (almost 36 years ago)
LOCATIONS
A Address
14938 ADIOS PASS, CARMEL IN 46032