License holder summary

Neil William Wangstrom is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Neil William Wangstrom is 1101 E GLENDALE BLVD, VALPARAISO IN 46383. This licensed professional license is not current. The license was granted 05/02/1997 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Neil William Wangstrom
Controlled Substance Registration - Physician
License number
01038858C
Date granted
05/02/1997
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1101 E GLENDALE BLVD, VALPARAISO IN 46383
indianalicensing.org
ID 5929454
LAST UPDATED 2024-02-29 23:24:48 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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