Indiana
Professional Licensing Agency
Allison J. Wiesman
Controlled Substance Registration - Physician
License number
01066799B
Date granted
06/10/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
300 East Boyd Avenue, Ste 250, Greenfield IN 46140
indianalicensing.org
ID 5860095
LAST UPDATED 2024-02-18 23:32:41 UTC
LAST UPDATED 2024-02-18 23:32:41 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.