Todd Samuel Wyse

Controlled Substance Registration - Dentist

Indiana  12008834C   Expired

This Indiana license was held by Todd Samuel Wyse. The license is no longer active. It was granted on 02/06/1989 and expired on 03/01/1998

LICENSE DETAILS

  • License Number: 12008834C
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 02/06/1989 (over 36 years ago)
  • Expiry Date: 03/01/1998 (about 27 years ago)

LOCATIONS

A Address

INDIANA STATE PRISON, BOX 41 CHICAGO AVENUE, MICHIGAN CITY IN 46360