License holder summary

JONATHAN ALLEN WYATT is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JONATHAN ALLEN WYATT is ELKHART GENERAL HOSPITAL ANESTHESIA DEPT, 600 EAST BLVD BOX 1329, ELKHART IN 46515. This licensed professional license is not current. The license was granted 07/01/1997 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

JONATHAN ALLEN WYATT
Controlled Substance Registration - Physician
License number
01046206B
Date granted
07/01/1997
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ELKHART GENERAL HOSPITAL ANESTHESIA DEPT, 600 EAST BLVD BOX 1329, ELKHART IN 46515
indianalicensing.org
ID 5847598
LAST UPDATED 2024-04-24 18:02:24 UTC

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