PATRICIA ANN GODEKE WISEMAN

Controlled Substance Registration - Physician

Indiana  01048920B   Active

This Indiana license is held by PATRICIA ANN GODEKE WISEMAN. The license is currently active. It was granted on 07/13/1998 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01048920B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/13/1998 (almost 26 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

1155 WEST JEFFERSON STREET, SUITE 101, Franklin IN 46131