Indiana
Professional Licensing Agency
Yvonne Jean Wilson
Controlled Substance Registration - Physician
License number
01071512B
Date granted
10/24/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Activate Healthcare, 2424 California Road, Elkhart IN 46514
indianalicensing.org
ID 11950829
LAST UPDATED 2024-02-23 15:49:42 UTC
LAST UPDATED 2024-02-23 15:49:42 UTC
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