License holder summary

WALTER T JURGENSEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for WALTER T JURGENSEN is 6842 BLUE MIST ROAD, FORT WAYNE IN 46819. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

WALTER T JURGENSEN
Controlled Substance Registration - Physician
License number
01014492B
Date granted
07/31/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6842 BLUE MIST ROAD, FORT WAYNE IN 46819
indianalicensing.org
ID 5854706
LAST UPDATED 2024-02-23 15:14:34 UTC

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

Reviews

Are you familiar with WALTER T JURGENSEN's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending