Indiana
Professional Licensing Agency
Jerry Warren Whetzel
Controlled Substance Registration - Physician
License number
01051865B
Date granted
12/17/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1758 W. 100 South, Portland IN 47371
indianalicensing.org
ID 5911503
LAST UPDATED 2026-06-16 22:29:38 UTC
LAST UPDATED 2026-06-16 22:29:38 UTC
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