Indiana
Professional Licensing Agency
Malford Tyson Pillow
Controlled Substance Registration - Physician
License number
01065414B
Date granted
06/11/2008
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Methodist Hospital, 600 Grant Street, Gary IN 46402
indianalicensing.org
ID 5856940
LAST UPDATED 2024-03-16 08:37:15 UTC
LAST UPDATED 2024-03-16 08:37:15 UTC
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