License holder summary

David Wayne Haines is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for David Wayne Haines is 1500 Provident Drive, Suite A, Warsaw IN 46580. This licensed professional license is current. The license was granted 03/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

David Wayne Haines
Controlled Substance Registration - Physician
License number
01022182B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1500 Provident Drive, Suite A, Warsaw IN 46580
indianalicensing.org
ID 5932463
LAST UPDATED 2024-03-15 12:52:22 UTC

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