Indiana
Professional Licensing Agency
Tina Marie Haller-Wade
Controlled Substance Registration-Osteopathic Physician
License number
02001250B
Date granted
01/13/1992
Date expires
06/30/2003
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
5798 W SCHULTZ RD, LAPORTE IN 46350
indianalicensing.org
ID 5806866
LAST UPDATED 2026-03-28 23:31:16 UTC
LAST UPDATED 2026-03-28 23:31:16 UTC
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