Indiana
Professional Licensing Agency
James D. Waller, Jr.
Controlled Substance Registration - Physician
License number
01029847B
Date granted
06/30/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Surgical Care Associates LLC, 801 St Mary's Drive Ste 205W, Evansville IN 47714
indianalicensing.org
ID 5850060
LAST UPDATED 2024-04-12 11:42:48 UTC
LAST UPDATED 2024-04-12 11:42:48 UTC
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