License holder summary

TIMOTHY JOE LARSEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for TIMOTHY JOE LARSEN is BALL MEMORIAL HOSPITAL ER DEPT, 2401 UNIVERSITY AVE, MUNCIE IN 47303. This licensed professional license is not current. The license was granted 05/14/1999 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

TIMOTHY JOE LARSEN
Controlled Substance Registration - Physician
License number
01050634B
Date granted
05/14/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BALL MEMORIAL HOSPITAL ER DEPT, 2401 UNIVERSITY AVE, MUNCIE IN 47303
indianalicensing.org
ID 5899591
LAST UPDATED 2024-05-02 16:32:16 UTC

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