Indiana
Professional Licensing Agency
Timothy James Nussbaum
Controlled Substance Registration - Physician
License number
01036991B
Date granted
09/14/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
CENTER GROVE FAMILY MEDICINE, 362 MERIDIAN PARKE LANE, GREENWOOD IN 46142
indianalicensing.org
ID 5862709
LAST UPDATED 2024-03-19 12:56:39 UTC
LAST UPDATED 2024-03-19 12:56:39 UTC
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