Indiana
Professional Licensing Agency
Timothy John Conrad
Controlled Substance Registration-Osteopathic Physician
License number
02001814B
Date granted
02/19/1997
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
240 N Tillotson Ave, Muncie IN 47304
indianalicensing.org
ID 5809787
LAST UPDATED 2024-04-27 07:06:10 UTC
LAST UPDATED 2024-04-27 07:06:10 UTC
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