Clifford Allen Wiethoff
Controlled Substance Registration - Physician
Indiana 01014665B Expired
This Indiana license was held by Clifford Allen Wiethoff. The license is no longer active. It was granted on 09/30/1986 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01014665B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/30/1986 (almost 39 years ago)
- Expiry Date: 06/30/2003 (about 22 years ago)
LOCATIONS
A Address
615 WEST DRIVE, SEYMOUR IN 47274