License holder summary

Timothy Brandon Davidson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Timothy Brandon Davidson is St Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545. This licensed professional license is current. The license was granted 04/08/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Timothy Brandon Davidson
Controlled Substance Registration - Physician
License number
01072210B
Date granted
04/08/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5896073
LAST UPDATED 2026-05-04 18:46:34 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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