Indiana
Professional Licensing Agency
Terrance A Vaisvilas
Controlled Substance Registration - Physician
License number
01064467B
Date granted
10/18/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Methodist Hospital-Northlake Campus, 600 Grant Street, Room 168 Phys Services, Gary IN 46402
indianalicensing.org
ID 5857720
LAST UPDATED 2026-04-27 06:37:24 UTC
LAST UPDATED 2026-04-27 06:37:24 UTC
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