License holder summary

KEVIN DEANE WYLIE is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for KEVIN DEANE WYLIE is RILEY HOSPITAL ROOM 5867, 702 BARNHILL DR, INDIANAPOLIS IN 46202. This licensed professional license is not current. The license was granted 06/24/1993 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

KEVIN DEANE WYLIE
Controlled Substance Registration-Osteopathic Physician
License number
02001446B
Date granted
06/24/1993
Date expires
06/30/1997
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
RILEY HOSPITAL ROOM 5867, 702 BARNHILL DR, INDIANAPOLIS IN 46202
indianalicensing.org
ID 5804917
LAST UPDATED 2024-03-22 23:19:00 UTC

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