Indiana
Professional Licensing Agency
David Thomas Wyncott
Controlled Substance Registration - Physician
License number
01070512B
Date granted
12/19/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
611 E Douglas Rd Suite 412, Mishawaka IN 46545
indianalicensing.org
ID 5894845
LAST UPDATED 2024-04-18 11:51:51 UTC
LAST UPDATED 2024-04-18 11:51:51 UTC
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