Timothy David Divens

Controlled Substance Registration - Physician

Indiana  01050545B   Active

This Indiana license is held by Timothy David Divens. The license is currently active. It was granted on 08/01/2001 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01050545B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 08/01/2001 (almost 24 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Radiology Associates of Indianapolis, 533 East County Line Road, Suite 210, Greenwood IN 46143