Indiana
Professional Licensing Agency
Larry J. Wapiennik
Controlled Substance Registration - Podiatrist
License number
07000451B
Date granted
07/31/1986
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
11406 Broadway, Crown Point IN 46307
indianalicensing.org
ID 8430084
LAST UPDATED 2024-04-10 19:13:59 UTC
LAST UPDATED 2024-04-10 19:13:59 UTC
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