TY ALAN MONTGOMERY

Controlled Substance Registration - Physician

Indiana  01047114B   Active

This Indiana license is held by TY ALAN MONTGOMERY. The license is currently active. It was granted on 07/24/1997 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01047114B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/24/1997 (almost 29 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

WILLIAM MAJOR HOSPITAL, 150 WEST WASHINGTON STREET, Shelbyville IN 46176