License holder summary

Timothy Wilson Logan is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Timothy Wilson Logan is 1964 State Street, Suite 200, New Albany IN 47150-4943. This licensed professional license is current. The license was granted 05/13/1999 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Timothy Wilson Logan
Controlled Substance Registration - Dentist
License number
12010128B
Date granted
05/13/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1964 State Street, Suite 200, New Albany IN 47150-4943
indianalicensing.org
ID 5115699
LAST UPDATED 2024-02-04 21:47:19 UTC

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