Indiana
Professional Licensing Agency
FRED MONROE WILSON
Controlled Substance Registration - Physician
License number
01020893B
Date granted
09/30/1983
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
12262 Crestwood Drive, Carmel IN 46033
indianalicensing.org
ID 5830475
LAST UPDATED 2024-02-03 11:44:13 UTC
LAST UPDATED 2024-02-03 11:44:13 UTC
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