License holder summary

Anna Louise Wildermuth is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Anna Louise Wildermuth is 324 NORTH 25TH STREET, Lafayette IN 47904. This licensed professional license is current. The license was granted 05/12/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Anna Louise Wildermuth
Controlled Substance Registration - Physician
License number
01043677B
Date granted
05/12/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
324 NORTH 25TH STREET, Lafayette IN 47904
indianalicensing.org
ID 5878805
LAST UPDATED 2024-04-22 12:38:04 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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