MICHAEL LOUIS WYMAN

Controlled Substance Registration - Physician

Indiana  01035645B   Expired

This Indiana license was held by MICHAEL LOUIS WYMAN. The license is no longer active. It was granted on 01/22/1987 and expired on 06/30/1991

LICENSE DETAILS

  • License Number: 01035645B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 01/22/1987 (over 39 years ago)
  • Expiry Date: 06/30/1991 (about 35 years ago)

LOCATIONS

A Address

2600 GREENBUSH STREET, LAFAYETTE IN 47904