License holder summary

MICHAEL R WILD is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MICHAEL R WILD is EYE PHYSICIANS INC, 3334 SOUTH LAFOUNTAIN, KOKOMO IN 46902. This licensed professional license is current. The license was granted 03/27/1997 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

MICHAEL R WILD
Controlled Substance Registration - Physician
License number
01046415B
Date granted
03/27/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
EYE PHYSICIANS INC, 3334 SOUTH LAFOUNTAIN, KOKOMO IN 46902
indianalicensing.org
ID 5876700
LAST UPDATED 2024-04-30 16:43:04 UTC

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