RICHARD ALBERT WASS
Controlled Substance Registration - Physician
Indiana 01035392B Revoked
This Indiana license was held by RICHARD ALBERT WASS. The license is no longer active. It was granted on 06/26/1987 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01035392B
- Category: CSR-Physician
- Status: Revoked
- Date Granted: 06/26/1987 (almost 39 years ago)
- Expiry Date: 06/30/1999 (almost 27 years ago)
LOCATIONS
A Address
310 N MICHIGAN ST #104, PLYMOUTH IN 46563