Indiana
Professional Licensing Agency
Jill M. Wahl
Controlled Substance Registration - Physician
License number
01055247B
Date granted
11/05/2001
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Health Care Department, Administrator, State Rd 2 and 1100 West, Westville IN 46391
indianalicensing.org
ID 5935079
LAST UPDATED 2024-04-14 07:28:57 UTC
LAST UPDATED 2024-04-14 07:28:57 UTC
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