Indiana
Professional Licensing Agency
Calvert Bryan Wait
Controlled Substance Registration - Physician
License number
01032361B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
360 North Oak Street, Columbia City IN 46725
indianalicensing.org
ID 5835554
LAST UPDATED 2024-05-04 15:17:34 UTC
LAST UPDATED 2024-05-04 15:17:34 UTC
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