Indiana
Professional Licensing Agency
James Allen Wayne, Jr.
Controlled Substance Registration - Physician
License number
01056759B
Date granted
11/22/2010
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
King's Daughter Medical Group, 112 Presbyterian Ave., Madison IN 47250
indianalicensing.org
ID 5886657
LAST UPDATED 2024-02-10 10:42:52 UTC
LAST UPDATED 2024-02-10 10:42:52 UTC
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