Indiana
Professional Licensing Agency
Harlan John Waltz
Controlled Substance Registration - Dentist
License number
12004765B
Date granted
09/30/1986
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1907 LINCOLN AVENUE, EVANSVILLE IN 47714
indianalicensing.org
ID 5091959
LAST UPDATED 2024-04-16 01:57:40 UTC
LAST UPDATED 2024-04-16 01:57:40 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.