Indiana
Professional Licensing Agency
Furman T. Wallace, Jr.
Controlled Substance Registration - Physician
License number
01029302B
Date granted
07/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Anderson Psychiatric Clinic, 431 W. 9th Street, Anderson IN 46016
indianalicensing.org
ID 5817186
LAST UPDATED 2024-04-30 21:19:46 UTC
LAST UPDATED 2024-04-30 21:19:46 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.