License holder summary

WALLER WALLACE COOPER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for WALLER WALLACE COOPER is BOX 887, EVANSVILLE IN 47208. This licensed professional license is not current. The license was granted 11/30/1985 and expired on 11/30/1986.

Indiana

Professional Licensing Agency

WALLER WALLACE COOPER
Controlled Substance Registration - Physician
License number
01018690B
Date granted
11/30/1985
Date expires
11/30/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BOX 887, EVANSVILLE IN 47208
indianalicensing.org
ID 5851323
LAST UPDATED 2024-04-23 13:00:30 UTC

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