License holder summary

Lori M Wisely is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lori M Wisely is P O Box 286, 1060 South Main Street, Tipton IN 46072. This licensed professional license is current. The license was granted 01/16/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lori M Wisely
Controlled Substance Registration - Physician
License number
01042996B
Date granted
01/16/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
P O Box 286, 1060 South Main Street, Tipton IN 46072
indianalicensing.org
ID 5927254
LAST UPDATED 2024-02-20 15:58:17 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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