License holder summary

Walter Clard Boutwell is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Walter Clard Boutwell is 8160 Seaton Place, Montgomery AL 36064. This licensed professional license is not current. The license was granted 04/09/2001 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Walter Clard Boutwell
Controlled Substance Registration - Physician
License number
01053827B
Date granted
04/09/2001
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8160 Seaton Place, Montgomery AL 36064
indianalicensing.org
ID 5896392
LAST UPDATED 2024-03-02 05:19:59 UTC

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