Indiana
Professional Licensing Agency
Jeffrey Keith Wilson
Controlled Substance Registration - Physician
License number
01037768B
Date granted
07/25/1989
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
AMERICAN HEALTH NETWORK, 2330 S DIXON RD, KOKOMO IN 46902
indianalicensing.org
ID 5876300
LAST UPDATED 2024-03-02 01:06:07 UTC
LAST UPDATED 2024-03-02 01:06:07 UTC
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