Indiana
Professional Licensing Agency
Kurt Alan Wiese
Controlled Substance Registration - Physician
License number
01040290B
Date granted
05/28/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
KURT WIESE MD, 401 WALL STREET, VALPARAISO IN 46383
indianalicensing.org
ID 5929019
LAST UPDATED 2024-02-22 21:09:20 UTC
LAST UPDATED 2024-02-22 21:09:20 UTC
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