License holder summary

Timothy Herbert Prahlow is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Timothy Herbert Prahlow is PATHOLOGY CONSULTANTS INC, 113 EAST FOURTH ST, MICHIGAN CITY IN 46360. This licensed professional license is current. The license was granted 12/28/1998 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Timothy Herbert Prahlow
Controlled Substance Registration - Physician
License number
01044539B
Date granted
12/28/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PATHOLOGY CONSULTANTS INC, 113 EAST FOURTH ST, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893821
LAST UPDATED 2024-03-11 20:41:11 UTC

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