Chester Wilson, Jr.

Controlled Substance Registration - Physician

Indiana  01064288D   Active

This Indiana license is held by Chester Wilson, Jr.. The license is currently active. It was granted on 09/14/2007 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01064288D
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 09/14/2007 (over 17 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Dept. of Radiation Oncology, 1915 Lake Avenue, Plymouth IN 46563