Indiana
Professional Licensing Agency
Mark Edward Wylam
Controlled Substance Registration - Physician
License number
01038765B
Date granted
09/14/1990
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY MEDICAL CENTER, MAIN AT FRANCISCAN ROAD, CROWN POINT IN 46307
indianalicensing.org
ID 5841545
LAST UPDATED 2024-04-13 20:32:36 UTC
LAST UPDATED 2024-04-13 20:32:36 UTC
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