Indiana
Professional Licensing Agency
Timothy G. Gillum
Controlled Substance Registration - Physician
License number
01055912B
Date granted
03/20/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
330 N Wabash Avenue, Ste 310, Marion IN 46952
indianalicensing.org
ID 5888921
LAST UPDATED 2024-04-20 20:30:51 UTC
LAST UPDATED 2024-04-20 20:30:51 UTC
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