Alice Berton Wood

Controlled Substance Registration - Physician

Indiana  01036491B   Active

This Indiana license is held by Alice Berton Wood. The license is currently active. It was granted on 03/03/1988 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01036491B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 03/03/1988 (over 36 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

2920 McIntire Dr., Suite 250, Bloomington IN 47403