Indiana
Professional Licensing Agency
William Edward Gist
Controlled Substance Registration - Physician
License number
01039934B
Date granted
01/28/1992
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
420 West Fourth Street, Ste 100A, Mishawaka IN 46544
indianalicensing.org
ID 5896146
LAST UPDATED 2024-04-12 19:41:38 UTC
LAST UPDATED 2024-04-12 19:41:38 UTC
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