License holder summary

Christine Diane Waller is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Christine Diane Waller is 3652 Rome Drive, Suite A, Lafayette IN 47905. This licensed professional license is current. The license was granted 06/10/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Christine Diane Waller
Controlled Substance Registration-Osteopathic Physician
License number
02003516B
Date granted
06/10/2009
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
3652 Rome Drive, Suite A, Lafayette IN 47905
indianalicensing.org
ID 5806907
LAST UPDATED 2024-03-13 12:40:53 UTC

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

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