Indiana
Professional Licensing Agency
Theodore John Waller
Controlled Substance Registration - Physician
License number
01047980B
Date granted
12/04/1997
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
600 WILSON CREEK ROAD, LAWRENCEBURG IN 47025
indianalicensing.org
ID 5883474
LAST UPDATED 2024-03-09 02:55:11 UTC
LAST UPDATED 2024-03-09 02:55:11 UTC
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