License holder summary

David William Wolken is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for David William Wolken is MEMORIAL E BLAIR FAMILY PRACTICE CENTER, 714 N MICHIGAN STREET, SOUTH BEND IN 46601. This licensed professional license is not current. The license was granted 07/24/1997 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

David William Wolken
Controlled Substance Registration - Physician
License number
01047378B
Date granted
07/24/1997
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEMORIAL E BLAIR FAMILY PRACTICE CENTER, 714 N MICHIGAN STREET, SOUTH BEND IN 46601
indianalicensing.org
ID 5920740
LAST UPDATED 2024-02-28 16:26:41 UTC

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