License holder summary

Elzworth Chester Wiesenmayer is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Elzworth Chester Wiesenmayer is OB/GYN, COOLEY RD ST RT 101, BROOKVILLE IN 47012. This licensed professional license is not current. The license was granted 03/27/1992 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Elzworth Chester Wiesenmayer
Controlled Substance Registration - Physician
License number
01040119B
Date granted
03/27/1992
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Retired
Address
OB/GYN, COOLEY RD ST RT 101, BROOKVILLE IN 47012
indianalicensing.org
ID 5828146
LAST UPDATED 2024-05-12 12:17:37 UTC

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