License holder summary

AGATHA WILHELM is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for AGATHA WILHELM is 1121 LEEPER AVENUE, SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 09/30/1985 and expired on 06/30/1993.

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

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