License holder summary

Ryan Christian Wallace is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ryan Christian Wallace is 10501 West Division Road, Yorktown IN 47396. This licensed professional license is current. The license was granted 08/26/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Ryan Christian Wallace
Controlled Substance Registration - Physician
License number
01061221B
Date granted
08/26/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
10501 West Division Road, Yorktown IN 47396
indianalicensing.org
ID 5936527
LAST UPDATED 2026-06-20 16:51:29 UTC

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