Ty Carl Maddox DO
Medical Practice in Nebraska

License number
Nebraska 3946
Issued Date
Jul 2, 1998
Effective Date
Oct 15, 1999
Expiration Date
Jul 1, 2000
Category
Medicine
Type
Temporary Educational Permit
Address
Address
Nebraska
Education
University of North Texas Health Science Center, Jun 6, 1998
LicenseFiles verified this license of Mar 28, 2017 at the Nebraska Department of Health and Human Services.

Personal information

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Name
Address
Phone
Ty Carl Maddox
31306, Omaha, NE 68131
Ty Carl Maddox, age 54
4543 Poppleton Ave, Omaha, NE 68106
(402) 551-5922
(402) 659-4787

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