Willard Harvey Hagenmeyer
Controlled Substance Registration-Osteopathic Physician
Indiana 02001155B Suspended
This Indiana license was held by Willard Harvey Hagenmeyer. The license is no longer active. It was granted on 04/20/1990 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 02001155B
- Category: CSR-Osteopathic Physician
- Status: Suspended
- Date Granted: 04/20/1990 (about 34 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Address
724 WEST BRISTOL STREET SUITE A, Elkhart IN 46514