License holder summary

Mary N. Tilak is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mary N. Tilak is 2241 45th Street, Highland IN 46322. This licensed professional license is current. The license was granted 07/20/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mary N. Tilak
Controlled Substance Registration - Physician
License number
01054662B
Date granted
07/20/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2241 45th Street, Highland IN 46322
indianalicensing.org
ID 5866574
LAST UPDATED 2024-03-09 13:54:00 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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