License holder summary

Douglas Ray Wilson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Douglas Ray Wilson is 2760 25th Street Suite 200, Columbus IN 47203. This licensed professional license is current. The license was granted 05/23/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Douglas Ray Wilson
Controlled Substance Registration - Physician
License number
01045152B
Date granted
05/23/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2760 25th Street Suite 200, Columbus IN 47203
indianalicensing.org
ID 5836180
LAST UPDATED 2024-02-29 21:21:33 UTC

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