License holder summary

LORI ANNE WYKOFF is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for LORI ANNE WYKOFF is South Bend Clinic, 211 N. Eddy Street, South Bend IN 46617. This licensed professional license is current. The license was granted 04/28/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

LORI ANNE WYKOFF
Controlled Substance Registration - Physician
License number
01043680B
Date granted
04/28/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
South Bend Clinic, 211 N. Eddy Street, South Bend IN 46617
indianalicensing.org
ID 5921610
LAST UPDATED 2024-03-18 05:46:35 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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