ANTONIO TIU QUE
Controlled Substance Registration - Physician
Indiana 01034829B Revoked
This Indiana license was held by ANTONIO TIU QUE. The license is no longer active. It was granted on 02/13/1986 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01034829B
- Category: CSR-Physician
- Status: Revoked
- Date Granted: 02/13/1986 (over 40 years ago)
- Expiry Date: 06/30/1993 (almost 33 years ago)
LOCATIONS
A Address
PORTER CO MEMORIAL HOSPITAL, 3630 WILLOWCREEK ROAD, PORTAGE IN 46368