License holder summary

Jonathan David Wigderson is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Jonathan David Wigderson is Porter Institute for Orthodpedics & Sports, 809 LaPorte Avenue, Suite A, Valparaiso IN 46383. This licensed professional license is not current. The license was granted 05/16/2005 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Jonathan David Wigderson
Controlled Substance Registration-Osteopathic Physician
License number
02002909B
Date granted
05/16/2005
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Porter Institute for Orthodpedics & Sports, 809 LaPorte Avenue, Suite A, Valparaiso IN 46383
indianalicensing.org
ID 5814789
LAST UPDATED 2024-04-20 23:59:21 UTC

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