Indiana
Professional Licensing Agency
George McComas Wolverton
Controlled Substance Registration - Physician
License number
01015769B
Date granted
09/30/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
21st Century Medicine, 647 Eastern Boulevard, Clarksville IN 47129
indianalicensing.org
ID 5834218
LAST UPDATED 2024-02-15 09:38:43 UTC
LAST UPDATED 2024-02-15 09:38:43 UTC
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