WALLER WALLACE COOPER
Controlled Substance Registration - Physician
Indiana 01018690B Expired
This Indiana license was held by WALLER WALLACE COOPER. The license is no longer active. It was granted on 11/30/1985 and expired on 11/30/1986
LICENSE DETAILS
- License Number: 01018690B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/30/1985 (over 39 years ago)
- Expiry Date: 11/30/1986 (over 38 years ago)
LOCATIONS
A Address
BOX 887, EVANSVILLE IN 47208