Kenneth Carl Wilson
Controlled Substance Registration - Physician
Indiana 01033536C Expired
This Indiana license was held by Kenneth Carl Wilson. The license is no longer active. It was granted on 12/16/1988 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01033536C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/16/1988 (over 37 years ago)
- Expiry Date: 06/30/1993 (almost 33 years ago)
LOCATIONS
A Address
245 ATWOOD, PALMYRA IN 47164