License holder summary

RICHARD CARL HALLER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RICHARD CARL HALLER is 229 WEST WALLEN ROAD, FORT WAYNE IN 46825. This licensed professional license is not current. The license was granted 03/31/1986 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

RICHARD CARL HALLER
Controlled Substance Registration - Physician
License number
01016754B
Date granted
03/31/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
229 WEST WALLEN ROAD, FORT WAYNE IN 46825
indianalicensing.org
ID 5854276
LAST UPDATED 2024-04-06 13:54:14 UTC

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