License holder summary

Wallace Lyle Past, Sr. is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Wallace Lyle Past, Sr. is Floyd Memorial Hospital, 1850 State Street, New Albany IN 47150. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Wallace Lyle Past, Sr.
Controlled Substance Registration - Physician
License number
01018231B
Date granted
02/28/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Floyd Memorial Hospital, 1850 State Street, New Albany IN 47150
indianalicensing.org
ID 5904153
LAST UPDATED 2024-03-03 00:17:39 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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