Indiana
Professional Licensing Agency
MARY ELIZABETH WALLEY
Controlled Substance Registration - Physician
License number
01044691B
Date granted
02/09/1996
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
BALL MEMORIAL HOSPITAL, 2401 UNIVERSITY AVE, MUNCIE IN 47303
indianalicensing.org
ID 5898902
LAST UPDATED 2024-04-06 01:20:52 UTC
LAST UPDATED 2024-04-06 01:20:52 UTC
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