Rickey Lee Wilson
Controlled Substance Registration - Physician
Indiana 01034948B Expired
This Indiana license was held by Rickey Lee Wilson. The license is no longer active. It was granted on 03/16/1986 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01034948B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/16/1986 (about 38 years ago)
- Expiry Date: 10/31/2013 (over 10 years ago)
LOCATIONS
A Address
415 E. Cook Road, Suite 100, Fort Wayne IN 46825