License holder summary

Diane E. Wallace is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Diane E. Wallace is 371 St Andre Drive, Valparaiso IN 46383. This licensed professional license is current. The license was granted 03/22/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Diane E. Wallace
Controlled Substance Registration - Physician
License number
01061919B
Date granted
03/22/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
371 St Andre Drive, Valparaiso IN 46383
indianalicensing.org
ID 5928434
LAST UPDATED 2026-05-10 20:42:25 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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