License holder summary

MARY ELIZABETH WALLEY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARY ELIZABETH WALLEY is BALL MEMORIAL HOSPITAL, 2401 UNIVERSITY AVE, MUNCIE IN 47303. This licensed professional license is not current. The license was granted 02/09/1996 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

MARY ELIZABETH WALLEY
Controlled Substance Registration - Physician
License number
01044691B
Date granted
02/09/1996
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
BALL MEMORIAL HOSPITAL, 2401 UNIVERSITY AVE, MUNCIE IN 47303
indianalicensing.org
ID 5898902
LAST UPDATED 2024-04-01 15:27:20 UTC

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