Indiana
Professional Licensing Agency
Howard E Wiarda
Controlled Substance Registration - Physician
License number
01052406B
Date granted
05/05/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895063
LAST UPDATED 2024-04-18 07:18:59 UTC
LAST UPDATED 2024-04-18 07:18:59 UTC
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