License holder summary

Rickey Lee Wilson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rickey Lee Wilson is 415 E. Cook Road, Suite 100, Fort Wayne IN 46825. This licensed professional license is not current. The license was granted 03/16/1986 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Rickey Lee Wilson
Controlled Substance Registration - Physician
License number
01034948B
Date granted
03/16/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
415 E. Cook Road, Suite 100, Fort Wayne IN 46825
indianalicensing.org
ID 5854337
LAST UPDATED 2024-03-16 16:48:21 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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