David William Wolken
Controlled Substance Registration - Physician
Indiana 01047378B Expired
This Indiana license was held by David William Wolken. The license is no longer active. It was granted on 07/24/1997 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01047378B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/24/1997 (almost 27 years ago)
- Expiry Date: 06/30/2001 (almost 23 years ago)
LOCATIONS
A Address
MEMORIAL E BLAIR FAMILY PRACTICE CENTER, 714 N MICHIGAN STREET, SOUTH BEND IN 46601