License holder summary

KEVIN RICHARD DORSEY TYLER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KEVIN RICHARD DORSEY TYLER is 410 ASH STREET, WABASH IN 46992. This licensed professional license is not current. The license was granted 01/09/1996 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

KEVIN RICHARD DORSEY TYLER
Controlled Substance Registration - Physician
License number
01044602B
Date granted
01/09/1996
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
410 ASH STREET, WABASH IN 46992
indianalicensing.org
ID 5931901
LAST UPDATED 2024-01-29 07:15:27 UTC

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