Indiana
Professional Licensing Agency
LAWRENCE PAUL WALTER
Controlled Substance Registration - Physician
License number
01026396B
Date granted
08/06/1975
Date expires
01/31/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
111 MARILYN AVE, GOSHEN IN 46526
indianalicensing.org
ID 5858859
LAST UPDATED 2024-04-13 13:49:43 UTC
LAST UPDATED 2024-04-13 13:49:43 UTC
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