License holder summary

ELEANORE AGNES WALTERS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ELEANORE AGNES WALTERS is 3928 HARRISON ST., GARY IN 46408. This licensed professional license is not current. The license was granted 09/30/1983 and expired on 09/30/1984.

Indiana

Professional Licensing Agency

ELEANORE AGNES WALTERS
Controlled Substance Registration - Physician
License number
01016134B
Date granted
09/30/1983
Date expires
09/30/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3928 HARRISON ST., GARY IN 46408
indianalicensing.org
ID 5856545
LAST UPDATED 2024-04-05 19:10:34 UTC

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