Indiana
Professional Licensing Agency
Lisle Wayne II M.D. Inc.
Medical Licensing Board - Medical Corporation
License number
50001343A
Date granted
04/20/1978
Date expires
01/31/2012
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3700 BELLEMEADE AVE #105, EVANSVILLE IN 47714
indianalicensing.org
ID 24826010
LAST UPDATED 2026-03-31 05:17:10 UTC
LAST UPDATED 2026-03-31 05:17:10 UTC
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