License holder summary

STANLEY NEWELL WILSON is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for STANLEY NEWELL WILSON is 2505 EAST JEFFERSON BLVD, SOUTH BEND IN 46615. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 09/30/1986.

Indiana

Professional Licensing Agency

STANLEY NEWELL WILSON
Controlled Substance Registration-Osteopathic Physician
License number
02000059B
Date granted
09/30/1986
Date expires
09/30/1986
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
2505 EAST JEFFERSON BLVD, SOUTH BEND IN 46615
indianalicensing.org
ID 5813702
LAST UPDATED 2024-02-15 14:27:12 UTC

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