License holder summary

CHARLES REED WYLIE is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for CHARLES REED WYLIE is 815 NORTH COLLEGE AVE., BLOOMINGTON IN 47401. This licensed professional license is not current. The license was granted 09/30/1983 and expired on 09/30/1984.

Indiana

Professional Licensing Agency

CHARLES REED WYLIE
Controlled Substance Registration - Dentist
License number
12003942B
Date granted
09/30/1983
Date expires
09/30/1984
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
815 NORTH COLLEGE AVE., BLOOMINGTON IN 47401
indianalicensing.org
ID 5082863
LAST UPDATED 2024-03-21 08:23:41 UTC

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