Indiana
Professional Licensing Agency
WALLER WALLACE COOPER
Controlled Substance Registration - Physician
License number
01018690B
Date granted
11/30/1985
Date expires
11/30/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BOX 887, EVANSVILLE IN 47208
indianalicensing.org
ID 5851323
LAST UPDATED 2024-02-14 13:39:06 UTC
LAST UPDATED 2024-02-14 13:39:06 UTC
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