License holder summary

Ralph Randolph Tyner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ralph Randolph Tyner is MCMH IMMEDIATE CARE CTR, 430 SAINT CLAIRE STREET, MOORESVILLE IN 46158. This licensed professional license is not current. The license was granted 09/02/1987 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

Ralph Randolph Tyner
Controlled Substance Registration - Physician
License number
01032852D
Date granted
09/02/1987
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MCMH IMMEDIATE CARE CTR, 430 SAINT CLAIRE STREET, MOORESVILLE IN 46158
indianalicensing.org
ID 5897212
LAST UPDATED 2024-02-13 11:41:05 UTC

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