Timothy J. Story

Controlled Substance Registration - Physician

Indiana  01028696B   Active

This Indiana license is held by Timothy J. Story. The license is currently active. It was granted on 04/04/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01028696B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 04/04/1986 (about 38 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

St Vincent Medical Group, Inc, 11725 Illinois St Suite 550, Carmel IN 46032