License holder summary

Timothy Ralph White is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Timothy Ralph White is St. Margaret Mercy Healthcare Ctr, Med Staff Offic, 5454 Hohman Avenue, Hammond IN 46320. This licensed professional license is current. The license was granted 08/18/2003 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Timothy Ralph White
Controlled Substance Registration - Physician
License number
01057947B
Date granted
08/18/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Margaret Mercy Healthcare Ctr, Med Staff Offic, 5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5865577
LAST UPDATED 2024-02-09 05:32:15 UTC

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