License holder summary

Lynnford S. Wilson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lynnford S. Wilson is MISHAWAKA ORTHOPEDIC/SPORTS MEDICINE, 270 E DAY ROAD SUITE 200, MISHAWAKA IN 46545. This licensed professional license is not current. The license was granted 09/05/1997 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Lynnford S. Wilson
Controlled Substance Registration - Physician
License number
01047046B
Date granted
09/05/1997
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MISHAWAKA ORTHOPEDIC/SPORTS MEDICINE, 270 E DAY ROAD SUITE 200, MISHAWAKA IN 46545
indianalicensing.org
ID 5895471
LAST UPDATED 2024-01-28 04:58:42 UTC

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