License holder summary

Walter Cannon is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Walter Cannon is 1225 E. Cool Springs Ave., Michigan City IN 46360. This licensed professional license is not current. The license was granted 11/07/2003 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Walter Cannon
Controlled Substance Registration - Physician
License number
01058175B
Date granted
11/07/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1225 E. Cool Springs Ave., Michigan City IN 46360
indianalicensing.org
ID 5893915
LAST UPDATED 2024-02-05 04:18:59 UTC

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