License holder summary

Eric David Wallisa is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Eric David Wallisa is MedExpress Urgent Care, 3800 S Scatterfield Road, Anderson IN 46013. This licensed professional license is current. The license was granted 11/26/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Eric David Wallisa
Controlled Substance Registration - Physician
License number
01054688C
Date granted
11/26/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
MedExpress Urgent Care, 3800 S Scatterfield Road, Anderson IN 46013
indianalicensing.org
ID 27697487
LAST UPDATED 2024-01-22 06:41:55 UTC

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