License holder summary

Barrett Jeffrey Wallis is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Barrett Jeffrey Wallis is 300 East Pine Avenue, West Lafayette IN 47906. This licensed professional license is not current. The license was granted 12/22/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Barrett Jeffrey Wallis
Controlled Substance Registration - Physician
License number
01045716B
Date granted
12/22/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
300 East Pine Avenue, West Lafayette IN 47906
indianalicensing.org
ID 5933830
LAST UPDATED 2024-03-11 20:41:03 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with Barrett Jeffrey Wallis's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending