Timothy Brock Ray

Name

Timothy Brock Ray

Year of birth

1986

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Timothy Brock Ray

Privacy Request

Additional Information

General: IND- LIC HC SERV PRO

Specialty: NURSE/NURSES AIDE

Medical license number: 1629282025

Address: 423 ELMONT RD

City: MAYNARD

State: AR

Zip code: 72444

Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))

Exclusion date: 2021-06-17


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