Indiana
Professional Licensing Agency
Chantal Latrice Walker
Controlled Substance Registration - Physician
License number
01052190B
Date granted
05/18/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
800 Lincolnway, Ste 204, La Porte IN 46350
indianalicensing.org
ID 5877693
LAST UPDATED 2024-04-10 02:28:53 UTC
LAST UPDATED 2024-04-10 02:28:53 UTC
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