Indiana
Professional Licensing Agency
Edward Frank Wierzalis
Controlled Substance Registration - Physician
License number
01016360B
Date granted
09/30/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3802 COSSELL ROAD #44, INDIANAPOLIS IN 46222
indianalicensing.org
ID 5869240
LAST UPDATED 2024-04-20 07:15:54 UTC
LAST UPDATED 2024-04-20 07:15:54 UTC
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