Indiana
Professional Licensing Agency
Timothy Miles Madren
Controlled Substance Registration - Physician
License number
01039482B
Date granted
07/09/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Franciscan St. Elizabeth, 1701 S. Creasy Lane,, Lafayette IN 47905
indianalicensing.org
ID 5880833
LAST UPDATED 2024-05-12 10:29:39 UTC
LAST UPDATED 2024-05-12 10:29:39 UTC
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