License holder summary

Jack Leon Walters is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jack Leon Walters is P O BOX 70, 1035 W JEFFERSON STREET, FRANKLIN IN 46131. This licensed professional license is not current. The license was granted 09/30/1975 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Jack Leon Walters
Controlled Substance Registration - Physician
License number
01017510B
Date granted
09/30/1975
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 70, 1035 W JEFFERSON STREET, FRANKLIN IN 46131
indianalicensing.org
ID 5855466
LAST UPDATED 2024-05-18 14:15:40 UTC

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