Carrie Celestine Wilson
Controlled Substance Registration - Physician
Indiana 01048001B Expired
This Indiana license was held by Carrie Celestine Wilson. The license is no longer active. It was granted on 12/04/1997 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01048001B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/04/1997 (over 27 years ago)
- Expiry Date: 06/30/2001 (almost 24 years ago)
LOCATIONS
A Address
PORTER MEMORIAL HOSPITAL, 814 LAPORTE AVENUE MEDICAL STAFF, Valparaiso IN 46383