Indiana
Professional Licensing Agency
AGATHA WILHELM
Controlled Substance Registration - Physician
License number
01013133B
Date granted
09/30/1985
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1121 LEEPER AVENUE, SOUTH BEND IN 46617
indianalicensing.org
ID 5920372
LAST UPDATED 2024-01-07 17:09:13 UTC
LAST UPDATED 2024-01-07 17:09:13 UTC
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