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
LAST UPDATED 2024-03-30 17:05:44 UTC
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