Indiana
Professional Licensing Agency
Kenneth Carl Wilson
Controlled Substance Registration - Physician
License number
01033536B
Date granted
07/31/1986
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1460 Cedar Lane NW, CORYDON IN 47112-2107
indianalicensing.org
ID 5838941
LAST UPDATED 2024-04-06 08:35:50 UTC
LAST UPDATED 2024-04-06 08:35:50 UTC
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