License holder summary

Daniel Joseph Wickert is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Daniel Joseph Wickert is 2785 CASON STREET, LAFAYETTE IN 47904. This licensed professional license is not current. The license was granted 04/01/1985 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Daniel Joseph Wickert
Controlled Substance Registration - Physician
License number
01034216B
Date granted
04/01/1985
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2785 CASON STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 5879021
LAST UPDATED 2024-03-30 17:05:44 UTC

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