EDWARD L WILSON

Controlled Substance Registration - Physician

Indiana  01029081B   Expired

This Indiana license was held by EDWARD L WILSON. The license is no longer active. It was granted on 03/31/1986 and expired on 06/30/2003

LICENSE DETAILS

  • License Number: 01029081B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 03/31/1986 (about 39 years ago)
  • Expiry Date: 06/30/2003 (almost 22 years ago)

LOCATIONS

A Address

1201 MICHIGAN AVENUE STE LL70, LOGANSPORT IN 46947