Indiana
Professional Licensing Agency
Clifford Allen Wiethoff
Controlled Substance Registration - Physician
License number
01014665B
Date granted
09/30/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
615 WEST DRIVE, SEYMOUR IN 47274
indianalicensing.org
ID 5918487
LAST UPDATED 2024-05-05 09:58:06 UTC
LAST UPDATED 2024-05-05 09:58:06 UTC
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