License holder summary

Marcus Wigutow is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Marcus Wigutow is 9120 Connecticut Drive #E, Merrillville IN 46410. This licensed professional license is current. The license was granted 09/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Marcus Wigutow
Controlled Substance Registration - Physician
License number
01022387B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9120 Connecticut Drive #E, Merrillville IN 46410
indianalicensing.org
ID 5890987
LAST UPDATED 2024-02-27 16:59:32 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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