Indiana
Professional Licensing Agency
LISLE WADE ROOSE
Controlled Substance Registration - Physician
License number
01016110B
Date granted
02/16/1951
Date expires
07/31/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
357 N NAPPANEE, NAPPANEE IN 46550
indianalicensing.org
ID 5901884
LAST UPDATED 2024-03-29 06:35:20 UTC
LAST UPDATED 2024-03-29 06:35:20 UTC
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