Indiana
Professional Licensing Agency
Samuel M. Wentworth
Controlled Substance Registration - Physician
License number
01022901B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2013 E Main Street, Danville IN 46122
indianalicensing.org
ID 5842954
LAST UPDATED 2024-04-23 09:55:00 UTC
LAST UPDATED 2024-04-23 09:55:00 UTC
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