Indiana
Professional Licensing Agency
Elaine Lee Wade
Controlled Substance Registration - Physician
License number
01059778C
Date granted
05/18/2005
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1400 S. Lake Park, Ste. 205, Hobart IN 46342
indianalicensing.org
ID 5867105
LAST UPDATED 2024-03-15 17:06:08 UTC
LAST UPDATED 2024-03-15 17:06:08 UTC
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