License holder summary

Jack Wang is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jack Wang is Michiana Hematology Oncology, P.C. / Radiation Oncology, 1007 Lincolnway, La Porte IN 46350. This licensed professional license is current. The license was granted 08/14/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jack Wang
Controlled Substance Registration - Physician
License number
01065720B
Date granted
08/14/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Michiana Hematology Oncology, P.C. / Radiation Oncology, 1007 Lincolnway, La Porte IN 46350
indianalicensing.org
ID 5878009
LAST UPDATED 2024-03-26 04:36:31 UTC

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