License holder summary

William R. Wise is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for William R. Wise is 2430 KNOLLWOOD DRIVE, INDIANAPOLIS IN 46228. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

William R. Wise
Controlled Substance Registration - Physician
License number
01016562B
Date granted
09/30/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2430 KNOLLWOOD DRIVE, INDIANAPOLIS IN 46228
indianalicensing.org
ID 5871218
LAST UPDATED 2024-05-04 08:36:07 UTC

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