Michelle Annette Tanaka

Nursing Board - Csr Prescriptive Authority

Indiana  71000244B   Expired

This Indiana license was held by Michelle Annette Tanaka. The license is no longer active. It was granted on 01/13/1997 and expired on 10/31/2001

LICENSE DETAILS

  • License Number: 71000244B
  • Category: CSR-Prescriptive Authority
  • Status: Expired
  • Date Granted: 01/13/1997 (over 27 years ago)
  • Expiry Date: 10/31/2001 (over 22 years ago)

LOCATIONS

A Address

RENAISSANCE PAIN MNGT & DIAGNOSTICS LLC, 8902 NORTH MERIDIAN STE 101, INDIANAPOLIS IN 46260