Eugene M. Tanquilut
Controlled Substance Registration-Osteopathic Physician
Indiana 02002492C Expired
This Indiana license was held by Eugene M. Tanquilut. The license is no longer active. It was granted on 04/26/2010 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 02002492C
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 04/26/2010 (about 15 years ago)
- Expiry Date: 06/30/2011 (about 14 years ago)
LOCATIONS
A Address
St. Margaret Hospital c/o Medical Staff Office, 24 Joliet St., Dyer IN 46311