Indiana
Professional Licensing Agency
Justin David Wright
Controlled Substance Registration - Physician
License number
01059454B
Date granted
03/09/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2705 North Lebanon Street, Suite 300, Lebanon IN 46052
indianalicensing.org
ID 5883877
LAST UPDATED 2024-03-24 11:02:35 UTC
LAST UPDATED 2024-03-24 11:02:35 UTC
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