Tatyana Rashelle Demidovich
Controlled Substance Registration - Physician
Indiana 01059495B Expired
This Indiana license was held by Tatyana Rashelle Demidovich. The license is no longer active. It was granted on 07/09/2004 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01059495B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/09/2004 (almost 21 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Address
St. Margaret Mercy Hospital/Medical Staff Office, 5454 Hohman Ave., Hammond IN 46320