License holder summary

CARRIE C WILSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CARRIE C WILSON is ST MARY MED CTR, 540 TYLER STREET, GARY IN IN 46402. This licensed professional license is not current. The license was granted 10/31/1985 and expired on 06/30/1987.

Indiana

Professional Licensing Agency

CARRIE C WILSON
Controlled Substance Registration - Physician
License number
01032545B
Date granted
10/31/1985
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST MARY MED CTR, 540 TYLER STREET, GARY IN IN 46402
indianalicensing.org
ID 5856309
LAST UPDATED 2024-03-15 23:09:45 UTC

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