License holder summary

TIMOTHY M CARMODY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for TIMOTHY M CARMODY is 8554 BROADWAY, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

TIMOTHY M CARMODY
Controlled Substance Registration - Physician
License number
01029419B
Date granted
08/31/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8554 BROADWAY, MERRILLVILLE IN 46410
indianalicensing.org
ID 5891808
LAST UPDATED 2024-05-07 08:10:14 UTC

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