License holder summary

Dwayne LaFrantz Wilson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dwayne LaFrantz Wilson is Bedford Regional Medical Center, 2900 W 16th Street, Bedford IN 47421. This licensed professional license is not current. The license was granted 03/16/2007 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Dwayne LaFrantz Wilson
Controlled Substance Registration - Physician
License number
01062905B
Date granted
03/16/2007
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
Bedford Regional Medical Center, 2900 W 16th Street, Bedford IN 47421
indianalicensing.org
ID 5822050
LAST UPDATED 2024-05-05 21:59:42 UTC

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