Indiana
Professional Licensing Agency
EDWARD JOSEPH WIZA JR
Controlled Substance Registration - Physician
License number
01020652B
Date granted
09/30/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
313 SOUTH RAMBLER ROAD, Muncie IN 47304
indianalicensing.org
ID 5898123
LAST UPDATED 2024-04-21 02:00:56 UTC
LAST UPDATED 2024-04-21 02:00:56 UTC
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