License holder summary

TIMOTHY WAYNE CARROLL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for TIMOTHY WAYNE CARROLL is UNITY PHYSICIANS, 1155 WEST 3RD ST, BLOOMINGTON IN 47404. This licensed professional license is not current. The license was granted 12/04/1997 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

TIMOTHY WAYNE CARROLL
Controlled Substance Registration - Physician
License number
01047876B
Date granted
12/04/1997
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
UNITY PHYSICIANS, 1155 WEST 3RD ST, BLOOMINGTON IN 47404
indianalicensing.org
ID 5825998
LAST UPDATED 2024-02-10 16:45:00 UTC

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