Indiana
Professional Licensing Agency
DAVID LEONARD WIRTZ
Controlled Substance Registration - Physician
License number
01028340B
Date granted
05/15/1978
Date expires
07/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 725, GOSHEN IN, GOSHEN IN 46526
indianalicensing.org
ID 5858480
LAST UPDATED 2024-02-16 19:55:22 UTC
LAST UPDATED 2024-02-16 19:55:22 UTC
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