License holder summary

SUSAN DIANNE WYATT is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SUSAN DIANNE WYATT is C / O RICHARD GLENDENING, M D, #8 CHASE PARK, LOGANSPORT IN 46947. This licensed professional license is not current. The license was granted 06/12/1991 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

SUSAN DIANNE WYATT
Controlled Substance Registration - Physician
License number
01039298B
Date granted
06/12/1991
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
C / O RICHARD GLENDENING, M D, #8 CHASE PARK, LOGANSPORT IN 46947
indianalicensing.org
ID 5885844
LAST UPDATED 2024-05-04 02:59:38 UTC

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