Elzworth Chester Wiesenmayer
Controlled Substance Registration - Physician
Indiana 01040119B Retired
This Indiana license was held by Elzworth Chester Wiesenmayer. The license is no longer active. It was granted on 03/27/1992 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01040119B
- Category: CSR-Physician
- Status: Retired
- Date Granted: 03/27/1992 (over 34 years ago)
- Expiry Date: 10/31/2013 (almost 13 years ago)
LOCATIONS
A Address
OB/GYN, COOLEY RD ST RT 101, BROOKVILLE IN 47012