Indiana
Professional Licensing Agency
Christopher Michael Wilson
Controlled Substance Registration - Physician
License number
01057419B
Date granted
02/18/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5250 E US 36 # 610, Avon IN 46123
indianalicensing.org
ID 5819978
LAST UPDATED 2024-02-03 20:47:39 UTC
LAST UPDATED 2024-02-03 20:47:39 UTC
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