Indiana
Professional Licensing Agency
John David Wulff
Controlled Substance Registration - Physician
License number
01028724B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1508 W White River Blvd., Muncie IN 47303
indianalicensing.org
ID 5898556
LAST UPDATED 2024-03-15 08:05:13 UTC
LAST UPDATED 2024-03-15 08:05:13 UTC
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