License holder summary

Terrance A Vaisvilas is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Terrance A Vaisvilas is Methodist Hospital-Northlake Campus, 600 Grant Street, Room 168 Phys Services, Gary IN 46402. This licensed professional license is current. The license was granted 10/18/2007 and expired on 10/31/2015.

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

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