Indiana
Professional Licensing Agency
Wayne B White
Controlled Substance Registration - Physician
License number
01032858B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1473 East State Road 44, Suite 5, Connersville IN 47331
indianalicensing.org
ID 5838413
LAST UPDATED 2024-03-09 14:12:34 UTC
LAST UPDATED 2024-03-09 14:12:34 UTC
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