License holder summary

Alan Flint Wise is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alan Flint Wise is P O BOX 1148, 1455 WEST 2ND STREET, BLOOMINGTON IN 47402. This licensed professional license is current. The license was granted 07/12/1989 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Alan Flint Wise
Controlled Substance Registration - Physician
License number
01033338B
Date granted
07/12/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
P O BOX 1148, 1455 WEST 2ND STREET, BLOOMINGTON IN 47402
indianalicensing.org
ID 5823685
LAST UPDATED 2024-04-12 21:03:48 UTC

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