Datchen Fritz Tai
Controlled Substance Registration - Physician
Indiana 01039810C Expired
This Indiana license was held by Datchen Fritz Tai. The license is no longer active. It was granted on 02/16/1999 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01039810C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/16/1999 (over 26 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
3819 Devonshire Ct, Bloomington IN 47408