Indiana
Professional Licensing Agency
Timothy David Divens
Controlled Substance Registration - Physician
License number
01050545B
Date granted
08/01/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology Associates of Indianapolis, 533 East County Line Road, Suite 210, Greenwood IN 46143
indianalicensing.org
ID 5862694
LAST UPDATED 2024-04-17 04:52:33 UTC
LAST UPDATED 2024-04-17 04:52:33 UTC
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