License holder summary

CHARLES F WILLIS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CHARLES F WILLIS is 2100 BAYARD PARK DRIVE, EVANSVILLE IN 47714. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 06/30/1987.

Indiana

Professional Licensing Agency

CHARLES F WILLIS
Controlled Substance Registration - Physician
License number
01011135B
Date granted
09/30/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2100 BAYARD PARK DRIVE, EVANSVILLE IN 47714
indianalicensing.org
ID 5849458
LAST UPDATED 2024-02-25 13:55:45 UTC

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