License holder summary

DAVID MICHAEL TARLOW is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID MICHAEL TARLOW is Fayette Memorial Hospital, 1941 Virginia Avenue, Connersville IN 47331. This licensed professional license is not current. The license was granted 12/05/1996 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

DAVID MICHAEL TARLOW
Controlled Substance Registration - Physician
License number
01046040B
Date granted
12/05/1996
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Fayette Memorial Hospital, 1941 Virginia Avenue, Connersville IN 47331
indianalicensing.org
ID 5837716
LAST UPDATED 2026-05-06 08:57:30 UTC

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