Todd Samuel Wyse
Controlled Substance Registration - Dentist
Indiana 12008834B Active
This Indiana license is held by Todd Samuel Wyse. The license is currently active. It was granted on 07/09/1986 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12008834B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 07/09/1986 (almost 39 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
57250 Alpha Drive, Goshen IN 46528-7804
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