Indiana
Professional Licensing Agency
JEROME HERSHAL WAIT
Controlled Substance Registration - Physician
License number
01017153B
Date granted
09/30/1980
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
WAIT GENERAL MEDICINE, 360 NORTH OAK ST, COLUMBIA CITY IN 46725
indianalicensing.org
ID 5835566
LAST UPDATED 2024-03-16 12:12:11 UTC
LAST UPDATED 2024-03-16 12:12:11 UTC
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