PATRICK ALLEN TIDMAN
Controlled Substance Registration - Physician
Indiana 01028100B Expired
This Indiana license was held by PATRICK ALLEN TIDMAN. The license is no longer active. It was granted on 01/31/1984 and expired on 01/31/1986
LICENSE DETAILS
- License Number: 01028100B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/31/1984 (over 41 years ago)
- Expiry Date: 01/31/1986 (over 39 years ago)
LOCATIONS
A Address
PO BOX 62, BERNE IN 46711