Indiana
Professional Licensing Agency
Paul Eymard Whalen, Jr.
Controlled Substance Registration - Physician
License number
01057493B
Date granted
05/12/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Primecare Physician Network, 1852 Ashburn Drive, Goshen IN 46526
indianalicensing.org
ID 5859015
LAST UPDATED 2026-06-19 12:37:47 UTC
LAST UPDATED 2026-06-19 12:37:47 UTC
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