Indiana
Professional Licensing Agency
TY ALAN MONTGOMERY
Controlled Substance Registration - Physician
License number
01047114B
Date granted
07/24/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
WILLIAM MAJOR HOSPITAL, 150 WEST WASHINGTON STREET, Shelbyville IN 46176
indianalicensing.org
ID 5919583
LAST UPDATED 2024-03-10 05:04:50 UTC
LAST UPDATED 2024-03-10 05:04:50 UTC
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