Timothy Ralph White
Controlled Substance Registration - Physician
Indiana 01057947B Active
This Indiana license is held by Timothy Ralph White. The license is currently active. It was granted on 08/18/2003 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01057947B
- Category: CSR-Physician
- Status: Active
- Date Granted: 08/18/2003 (almost 22 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
St. Margaret Mercy Healthcare Ctr, Med Staff Offic, 5454 Hohman Avenue, Hammond IN 46320
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