License holder summary

David Thomas Gilliam is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for David Thomas Gilliam is Meadows Hospital, 3600 North Prow Road, Bloomington IN 47404. This licensed professional license is current. The license was granted 02/12/1999 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

David Thomas Gilliam
Controlled Substance Registration - Physician
License number
01040990B
Date granted
02/12/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Meadows Hospital, 3600 North Prow Road, Bloomington IN 47404
indianalicensing.org
ID 5824116
LAST UPDATED 2024-03-07 11:17:26 UTC

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