Datchen Fritz Tai
Controlled Substance Registration - Physician
Indiana 01039810B Expired
This Indiana license was held by Datchen Fritz Tai. The license is no longer active. It was granted on 11/25/1991 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01039810B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/25/1991 (over 33 years ago)
- Expiry Date: 06/30/2001 (almost 24 years ago)
LOCATIONS
A Address
PROFESSIONAL OFFICES BLDG II, 839 EAST AUTO MALL ROAD # C, BLOOMINGTON IN 47401