Indiana
Professional Licensing Agency
Timothy Alan Burrell
Controlled Substance Registration - Physician
License number
01042017B
Date granted
12/02/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PO Box 4777, 1155 West Third Street, Bloomington IN 47402
indianalicensing.org
ID 5825989
LAST UPDATED 2024-02-20 08:57:23 UTC
LAST UPDATED 2024-02-20 08:57:23 UTC
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