Garry Gene Wiseman

Controlled Substance Registration - Podiatrist

Indiana  07000380B   Expired

This Indiana license was held by Garry Gene Wiseman. The license is no longer active. It was granted on 11/30/1986 and expired on 06/30/1991

LICENSE DETAILS

  • License Number: 07000380B
  • Category: CSR-Podiatrist
  • Status: Expired
  • Date Granted: 11/30/1986 (over 37 years ago)
  • Expiry Date: 06/30/1991 (almost 33 years ago)

LOCATIONS

A Address

8022 GREENWOOD AVENUE, MUNSTER IN 46321