License holder summary

EDWARD THEODORE WOLANSKI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EDWARD THEODORE WOLANSKI is MADISON CLINIC, 722 WEST MAIN, MADISON IN 47250. This licensed professional license is not current. The license was granted 08/29/1991 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

EDWARD THEODORE WOLANSKI
Controlled Substance Registration - Physician
License number
01039698B
Date granted
08/29/1991
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MADISON CLINIC, 722 WEST MAIN, MADISON IN 47250
indianalicensing.org
ID 5886498
LAST UPDATED 2024-03-21 18:06:31 UTC

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