DONALD TOMMY TUCKER
Controlled Substance Registration - Physician
Indiana 01032156B Expired
This Indiana license was held by DONALD TOMMY TUCKER. The license is no longer active. It was granted on 11/30/1984 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01032156B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/30/1984 (over 39 years ago)
- Expiry Date: 06/30/1993 (almost 31 years ago)
LOCATIONS
A Address
1619 W 5TH AVE, GARY IN 46404