Tanya Richardson
Controlled Substance Registration - Physician
Indiana 01052656C Active
This Indiana license is held by Tanya Richardson. The license is currently active. It was granted on 06/23/2014 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01052656C
- Category: CSR-Physician
- Status: Active
- Date Granted: 06/23/2014 (almost 10 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
St. Mary Medical Center, 1500 South Lake Park Avenue, Hobart IN 46342
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