License holder summary

Patricia Vitello Waltman is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Patricia Vitello Waltman is 645 PRESTWICK POINTE, 5250 EAST US 36, AVON IN 46123. This licensed professional license is not current. The license was granted 07/30/1992 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Patricia Vitello Waltman
Controlled Substance Registration - Physician
License number
01040621B
Date granted
07/30/1992
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
645 PRESTWICK POINTE, 5250 EAST US 36, AVON IN 46123
indianalicensing.org
ID 5820431
LAST UPDATED 2024-05-01 15:03:41 UTC

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