License holder summary

Wesley Shayne Bott is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Wesley Shayne Bott is Fort Wayne Medical Education Program, 750 Broadway, Suite 250, Fort Wayne IN 46802. This licensed professional license is not current. The license was granted 07/10/2009 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Wesley Shayne Bott
Controlled Substance Registration-Osteopathic Physician
License number
02003547B
Date granted
07/10/2009
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Fort Wayne Medical Education Program, 750 Broadway, Suite 250, Fort Wayne IN 46802
indianalicensing.org
ID 5800972
LAST UPDATED 2024-04-06 06:22:35 UTC

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