Indiana
Professional Licensing Agency
Timothy James Mullally
Controlled Substance Registration-Osteopathic Physician
License number
02003099B
Date granted
07/27/2006
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Indiana Sports & Medical Science Institute PC, 12800 Mississippi Pkywy, Suite A200, Crown Point IN 46308-0108
indianalicensing.org
ID 5797848
LAST UPDATED 2024-04-28 05:31:59 UTC
LAST UPDATED 2024-04-28 05:31:59 UTC
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