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
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