License holder summary

WALLACE SAMUEL TIRMAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for WALLACE SAMUEL TIRMAN is PARKVIEW HOSPITAL, 1401 N MICHIGAN STREET, PLYMOUTH IN 46563. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

WALLACE SAMUEL TIRMAN
Controlled Substance Registration - Physician
License number
01015607B
Date granted
08/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PARKVIEW HOSPITAL, 1401 N MICHIGAN STREET, PLYMOUTH IN 46563
indianalicensing.org
ID 5910880
LAST UPDATED 2024-03-15 02:55:09 UTC

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