Kamal Kumar Tiwari
Controlled Substance Registration - Physician
Indiana 01034945B Revoked
This Indiana license was held by Kamal Kumar Tiwari. The license is no longer active. It was granted on 04/16/1986 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01034945B
- Category: CSR-Physician
- Status: Revoked
- Date Granted: 04/16/1986 (about 39 years ago)
- Expiry Date: 06/30/2011 (almost 14 years ago)
LOCATIONS
A Address
P O Box 5635, 2920 McIntire Drive Suite 150, Bloomington IN 47403