CHARLES REED WYLIE

Controlled Substance Registration - Dentist

Indiana  12003942B   Expired

This Indiana license was held by CHARLES REED WYLIE. The license is no longer active. It was granted on 09/30/1983 and expired on 09/30/1984

LICENSE DETAILS

  • License Number: 12003942B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 09/30/1983 (almost 43 years ago)
  • Expiry Date: 09/30/1984 (almost 42 years ago)

LOCATIONS

A Address

815 NORTH COLLEGE AVE., BLOOMINGTON IN 47401