Indiana
Professional Licensing Agency
David Michael Wulff
Controlled Substance Registration-Physician Assistant
License number
10000305D
Date granted
03/14/2011
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Fayette Regional Health System- HealthPlex, 11137 US Highway 52, Brookville IN 47012
indianalicensing.org
ID 8385915
LAST UPDATED 2024-04-21 00:54:00 UTC
LAST UPDATED 2024-04-21 00:54:00 UTC
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