License holder summary

Jeuti B. Wylde is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeuti B. Wylde is 1114 E. 10th Street, Jeffersonville IN 47130. This licensed professional license is current. The license was granted 10/27/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jeuti B. Wylde
Controlled Substance Registration - Physician
License number
01041261B
Date granted
10/27/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1114 E. 10th Street, Jeffersonville IN 47130
indianalicensing.org
ID 5873147
LAST UPDATED 2024-05-10 17:12:45 UTC

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