Indiana
Professional Licensing Agency
DOUGLAS JAMES WILSON
Controlled Substance Registration - Physician
License number
01019512B
Date granted
09/30/1984
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
303 S MAIN STREET, MISHAWAKA IN 46544
indianalicensing.org
ID 5894870
LAST UPDATED 2024-02-01 20:29:06 UTC
LAST UPDATED 2024-02-01 20:29:06 UTC
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