License holder summary

Jeremiah H. Tyson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeremiah H. Tyson is Saint Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545. This licensed professional license is current. The license was granted 01/29/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jeremiah H. Tyson
Controlled Substance Registration - Physician
License number
01072096B
Date granted
01/29/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5895181
LAST UPDATED 2026-05-01 07:08:53 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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