Indiana
Professional Licensing Agency
Jeremy Robert Wilson
Controlled Substance Registration-Osteopathic Physician
License number
02002760B
Date granted
04/12/2004
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
330 N Wabash Suite 340, Marion IN 46952
indianalicensing.org
ID 5808241
LAST UPDATED 2024-04-05 17:58:16 UTC
LAST UPDATED 2024-04-05 17:58:16 UTC
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