Indiana
Professional Licensing Agency
Lawrence H Wilk
Controlled Substance Registration - Physician
License number
01048880B
Date granted
07/06/1998
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MIKE MOHEIMANI PRACTICE, 30 RAMPART ST, SHELBYVILLE IN 46176
indianalicensing.org
ID 5919283
LAST UPDATED 2024-03-26 14:39:42 UTC
LAST UPDATED 2024-03-26 14:39:42 UTC
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