Indiana
Professional Licensing Agency
James George Wakefield, III
Controlled Substance Registration - Physician
License number
01060733B
Date granted
06/10/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Christian Clinic, 716 South College Avenue, Rensselaer IN 47978
indianalicensing.org
ID 5912367
LAST UPDATED 2024-04-04 19:32:52 UTC
LAST UPDATED 2024-04-04 19:32:52 UTC
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