Indiana
Professional Licensing Agency
Bethany Ann Wait
Controlled Substance Registration-Osteopathic Physician
License number
02003383B
Date granted
07/17/2008
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
E. Blair Warner Family Practice Center, 714 N Michigan Street, South Bend IN 46601
indianalicensing.org
ID 5813214
LAST UPDATED 2024-04-03 01:09:35 UTC
LAST UPDATED 2024-04-03 01:09:35 UTC
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