Indiana
Professional Licensing Agency
Andree Borle Walczak
Controlled Substance Registration - Physician
License number
01041168B
Date granted
03/15/1993
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
54 West Road, Chesterton IN 46304
indianalicensing.org
ID 5833493
LAST UPDATED 2024-03-06 10:28:23 UTC
LAST UPDATED 2024-03-06 10:28:23 UTC
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