Timothy Brandon Davidson

Controlled Substance Registration - Physician

Indiana  01072210B   Active

This Indiana license is held by Timothy Brandon Davidson. The license is currently active. It was granted on 04/08/2013 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01072210B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 04/08/2013 (about 12 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

St Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545