Indiana
Professional Licensing Agency
Amanda Marie Walter
Controlled Substance Registration - Physician
License number
01073953B
Date granted
05/08/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Heartland Crossing Pediatrics, 1215 Hadley Road, Ste LL100, Mooresville IN 46158
indianalicensing.org
ID 27715203
LAST UPDATED 2024-03-24 18:00:54 UTC
LAST UPDATED 2024-03-24 18:00:54 UTC
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