License holder summary

Willard Harvey Hagenmeyer is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Willard Harvey Hagenmeyer is 724 WEST BRISTOL STREET SUITE A, Elkhart IN 46514. This licensed professional license is not current. The license was granted 04/20/1990 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Willard Harvey Hagenmeyer
Controlled Substance Registration-Osteopathic Physician
License number
02001155B
Date granted
04/20/1990
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Suspended
Address
724 WEST BRISTOL STREET SUITE A, Elkhart IN 46514
indianalicensing.org
ID 5799323
LAST UPDATED 2024-02-08 00:58:31 UTC

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