Tamara Loewen Hazbun
Controlled Substance Registration - Physician
Indiana 01061453B Active
This Indiana license is held by Tamara Loewen Hazbun. The license is currently active. It was granted on 09/04/2007 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01061453B
- Category: CSR-Physician
- Status: Active
- Date Granted: 09/04/2007 (almost 18 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
1500 Salem Street, Lafayette IN 47904
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