Timothy Miles Madren

Controlled Substance Registration - Physician

Indiana  01039482B   Active

This Indiana license is held by Timothy Miles Madren. The license is currently active. It was granted on 07/09/1991 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01039482B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/09/1991 (about 35 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

Franciscan St. Elizabeth, 1701 S. Creasy Lane,, Lafayette IN 47905