Patricia Vitello Waltman
Controlled Substance Registration - Physician
Indiana 01040621B Expired
This Indiana license was held by Patricia Vitello Waltman. The license is no longer active. It was granted on 07/30/1992 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01040621B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/30/1992 (almost 33 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
645 PRESTWICK POINTE, 5250 EAST US 36, AVON IN 46123