Daniel Joseph Wickert
Controlled Substance Registration - Physician
Indiana 01034216B Expired
This Indiana license was held by Daniel Joseph Wickert. The license is no longer active. It was granted on 04/01/1985 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01034216B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/01/1985 (about 39 years ago)
- Expiry Date: 06/30/2001 (almost 23 years ago)
LOCATIONS
A Address
2785 CASON STREET, LAFAYETTE IN 47904