License holder summary

John Smith Wilson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for John Smith Wilson is WHITLEY CO MEMORIAL HOSPITAL, 353N OAK STREET BOX 409, COLUMBIA CITY IN 46725. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

John Smith Wilson
Controlled Substance Registration - Physician
License number
01017794B
Date granted
09/30/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
WHITLEY CO MEMORIAL HOSPITAL, 353N OAK STREET BOX 409, COLUMBIA CITY IN 46725
indianalicensing.org
ID 5835593
LAST UPDATED 2024-04-12 07:23:43 UTC

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