Indiana
Professional Licensing Agency
WILLIAM COULTER PARKE
Controlled Substance Registration - Physician
License number
01020159B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1216 COUNTRY CLUB DRIVE, WARSAW IN 46580
indianalicensing.org
ID 5933016
LAST UPDATED 2024-04-05 17:02:38 UTC
LAST UPDATED 2024-04-05 17:02:38 UTC
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