Indiana
Professional Licensing Agency
Jonathan Wade Weiss
Controlled Substance Registration - Physician
License number
01065200B
Date granted
09/29/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology Inc., 620 W Edison Road, Ste 110, Mishawaka IN 46545
indianalicensing.org
ID 5895256
LAST UPDATED 2024-04-02 21:39:14 UTC
LAST UPDATED 2024-04-02 21:39:14 UTC
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