License holder summary

SHOLOM OMI WAIFE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SHOLOM OMI WAIFE is 2222 BOSTON COURT, INDIANAPOLIS IN 46208. This licensed professional license is not current. The license was granted 01/06/1953 and expired on 09/30/1982.

Indiana

Professional Licensing Agency

SHOLOM OMI WAIFE
Controlled Substance Registration - Physician
License number
01016624B
Date granted
01/06/1953
Date expires
09/30/1982
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2222 BOSTON COURT, INDIANAPOLIS IN 46208
indianalicensing.org
ID 5870771
LAST UPDATED 2024-03-15 04:50:58 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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