Indiana
Professional Licensing Agency
Sara Nichole Wine
Controlled Substance Registration-Osteopathic Physician
License number
02003748B
Date granted
09/23/2010
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Fishers Family Physicians, 11845 Allisonville Road # 400, Fishers IN 46038
indianalicensing.org
ID 5800067
LAST UPDATED 2024-02-04 20:41:30 UTC
LAST UPDATED 2024-02-04 20:41:30 UTC
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