License holder summary

Michael Shannon Wilson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Michael Shannon Wilson is 1808 SHERMAN DRIVE, PRINCETON IN 47670. This licensed professional license is not current. The license was granted 12/04/1998 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Michael Shannon Wilson
Controlled Substance Registration - Physician
License number
01049929B
Date granted
12/04/1998
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1808 SHERMAN DRIVE, PRINCETON IN 47670
indianalicensing.org
ID 5911898
LAST UPDATED 2024-03-17 18:08:25 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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