RAYMOND BRIAN WALLACE
Controlled Substance Registration-Osteopathic Physician
Indiana 02001702B Expired
This Indiana license was held by RAYMOND BRIAN WALLACE. The license is no longer active. It was granted on 12/07/1995 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 02001702B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 12/07/1995 (over 29 years ago)
- Expiry Date: 06/30/1999 (about 26 years ago)
LOCATIONS
A Address
ST MARGARET MERCY NORTH EMER DEPT, 5454 HOHMAN AVENUE, HAMMOND IN 46320