License holder summary

WALLACE CLARK HILL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for WALLACE CLARK HILL is 248 SOUTH HAWTHORNE PLACE, SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 03/31/1986 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

WALLACE CLARK HILL
Controlled Substance Registration - Physician
License number
01018236B
Date granted
03/31/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
248 SOUTH HAWTHORNE PLACE, SOUTH BEND IN 46617
indianalicensing.org
ID 5922565
LAST UPDATED 2024-04-23 01:29:22 UTC

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