License holder summary

Wayne St. Michael Gibson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Wayne St. Michael Gibson is attn: Opal, 1473 North Gardner Street, Scottsburg IN 47170. This licensed professional license is current. The license was granted 03/05/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Wayne St. Michael Gibson
Controlled Substance Registration - Physician
License number
01040911B
Date granted
03/05/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
attn: Opal, 1473 North Gardner Street, Scottsburg IN 47170
indianalicensing.org
ID 5918096
LAST UPDATED 2024-03-09 17:37:25 UTC

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