STANLEY NEWELL WILSON
Controlled Substance Registration-Osteopathic Physician
Indiana 02000059B Expired
This Indiana license was held by STANLEY NEWELL WILSON. The license is no longer active. It was granted on 09/30/1986 and expired on 09/30/1986
LICENSE DETAILS
- License Number: 02000059B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 09/30/1986 (over 39 years ago)
- Expiry Date: 09/30/1986 (over 39 years ago)
LOCATIONS
A Address
2505 EAST JEFFERSON BLVD, SOUTH BEND IN 46615