License holder summary

Todd Samuel Wyse is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Todd Samuel Wyse is 57250 Alpha Drive, Goshen IN 46528-7804. This licensed professional license is current. The license was granted 07/09/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Todd Samuel Wyse
Controlled Substance Registration - Dentist
License number
12008834B
Date granted
07/09/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
57250 Alpha Drive, Goshen IN 46528-7804
indianalicensing.org
ID 5098344
LAST UPDATED 2024-04-10 06:15:24 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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