Indiana
Professional Licensing Agency
RICHARD ALLEN WIETHOFF
Controlled Substance Registration - Physician
License number
01024324B
Date granted
04/16/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
225 SOUTH PINE STREET STE 310, SEYMOUR IN 47274
indianalicensing.org
ID 5918904
LAST UPDATED 2024-03-25 08:04:17 UTC
LAST UPDATED 2024-03-25 08:04:17 UTC
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