Indiana
Professional Licensing Agency
Marcus Wigutow
Controlled Substance Registration - Physician
License number
01022387B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9120 Connecticut Drive #E, Merrillville IN 46410
indianalicensing.org
ID 5890987
LAST UPDATED 2024-02-19 22:10:10 UTC
LAST UPDATED 2024-02-19 22:10:10 UTC
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