WALTER SAMUEL MASSANARI
Controlled Substance Registration - Physician
Indiana 01016675B Expired
This Indiana license was held by WALTER SAMUEL MASSANARI. The license is no longer active. It was granted on 02/28/1983 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01016675B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/28/1983 (over 43 years ago)
- Expiry Date: 06/30/1999 (about 27 years ago)
LOCATIONS
A Address
1404 1 PEMBROKE CIRCLE, GOSHEN IN 46526