Indiana
Professional Licensing Agency
Wymonf Burdette Wilson
Controlled Substance Registration - Physician
License number
01016840B
Date granted
09/30/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 425, 107 HARVARD, MENTONE IN 46539
indianalicensing.org
ID 5889732
LAST UPDATED 2024-02-21 18:03:15 UTC
LAST UPDATED 2024-02-21 18:03:15 UTC
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