Indiana
Professional Licensing Agency
Timothy Wayne Nush
Controlled Substance Registration - Physician
License number
01066665B
Date granted
05/15/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Professiona Park (Prime Care), 2014 S. Main St. Suite# A, Goshen IN 46526
indianalicensing.org
ID 5859260
LAST UPDATED 2024-04-18 18:50:37 UTC
LAST UPDATED 2024-04-18 18:50:37 UTC
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