Michael Brian Wildermuth
Controlled Substance Registration - Physician
Indiana 01043585B Active
This Indiana license is held by Michael Brian Wildermuth. The license is currently active. It was granted on 03/23/1995 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01043585B
- Category: CSR-Physician
- Status: Active
- Date Granted: 03/23/1995 (over 31 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
Greater Lafayette Health Services, 517 Lingle Avenue, Lafayette IN 47901
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