Indiana
Professional Licensing Agency
Suzanne Wehrenberg
Controlled Substance Registration - Physician
License number
01029570B
Date granted
08/28/1979
Date expires
06/30/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2414 EAST STATE BLVD, FORT WAYNE IN 46805
indianalicensing.org
ID 5854601
LAST UPDATED 2024-03-07 09:26:30 UTC
LAST UPDATED 2024-03-07 09:26:30 UTC
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