Tracy Casault
Controlled Substance Registration-Osteopathic Physician
Indiana 02003315B Expired
This Indiana license was held by Tracy Casault. The license is no longer active. It was granted on 02/27/2008 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 02003315B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 02/27/2008 (over 16 years ago)
- Expiry Date: 06/30/2009 (almost 15 years ago)
LOCATIONS
A Address
Memorial Sports Medicine Institute, 111 West Jefferson Blvd, Suite 100, South Bend IN 46601