AGATHA WILHELM
Controlled Substance Registration - Physician
Indiana 01013133B Expired
This Indiana license was held by AGATHA WILHELM. The license is no longer active. It was granted on 09/30/1985 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01013133B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/30/1985 (over 40 years ago)
- Expiry Date: 06/30/1993 (about 33 years ago)
LOCATIONS
A Address
1121 LEEPER AVENUE, SOUTH BEND IN 46617