License holder summary

Jeffrey Benjamin Wygodny is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeffrey Benjamin Wygodny is Lakeshore Surgicare, 3111 Village Pointe, Chesterton IN 46304. This licensed professional license is current. The license was granted 10/24/2014 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jeffrey Benjamin Wygodny
Controlled Substance Registration - Physician
License number
01053417C
Date granted
10/24/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lakeshore Surgicare, 3111 Village Pointe, Chesterton IN 46304
indianalicensing.org
ID 27701212
LAST UPDATED 2024-03-10 18:34:58 UTC

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