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
LAST UPDATED 2024-04-12 21:03:48 UTC
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