Indiana
Professional Licensing Agency
Bryan E. Waldo
Controlled Substance Registration - Physician
License number
01064566B
Date granted
11/19/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
606 E Lincolnway, Valparaiso IN 46383
indianalicensing.org
ID 5928175
LAST UPDATED 2024-03-12 13:34:57 UTC
LAST UPDATED 2024-03-12 13:34:57 UTC
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