License holder summary

Theodore A. Waflart, Jr. is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Theodore A. Waflart, Jr. is IMED, 939 Memorial Drive, Jasper IN 47546. This licensed professional license is current. The license was granted 10/31/1984 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Theodore A. Waflart, Jr.
Controlled Substance Registration - Physician
License number
01027456B
Date granted
10/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IMED, 939 Memorial Drive, Jasper IN 47546
indianalicensing.org
ID 5872153
LAST UPDATED 2024-04-10 03:30:58 UTC

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