Michael Shannon Wilson
Controlled Substance Registration - Physician
Indiana 01049929B Expired
This Indiana license was held by Michael Shannon Wilson. The license is no longer active. It was granted on 12/04/1998 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01049929B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/04/1998 (over 27 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
1808 SHERMAN DRIVE, PRINCETON IN 47670