Indiana
Professional Licensing Agency
Zachry Lane Waterson
Controlled Substance Registration-Osteopathic Physician
License number
02002215B
Date granted
08/11/2000
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Associated Family Medical Consultants, PC, 6404 Rothman Road, Fort Wayne IN 46835
indianalicensing.org
ID 5800940
LAST UPDATED 2024-02-22 09:19:48 UTC
LAST UPDATED 2024-02-22 09:19:48 UTC
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