Indiana
Professional Licensing Agency
Amy Elizabeth Waitman
Controlled Substance Registration - Physician
License number
01058869B
Date granted
03/25/2004
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
New Castle Clinic, Inc., 1007 N 16th St., New Castle IN 47362
indianalicensing.org
ID 5904234
LAST UPDATED 2024-03-10 04:40:35 UTC
LAST UPDATED 2024-03-10 04:40:35 UTC
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