Indiana
Professional Licensing Agency
RAYMOND BRIAN WALLACE
Controlled Substance Registration-Osteopathic Physician
License number
02001702B
Date granted
12/07/1995
Date expires
06/30/1999
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST MARGARET MERCY NORTH EMER DEPT, 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5802805
LAST UPDATED 2024-05-09 02:40:12 UTC
LAST UPDATED 2024-05-09 02:40:12 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.