Wayne H. Endicott

Controlled Substance Registration - Physician

Indiana  01014769B   Expired

This Indiana license was held by Wayne H. Endicott. The license is no longer active. It was granted on 06/30/1986 and expired on 06/30/1997

LICENSE DETAILS

  • License Number: 01014769B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 06/30/1986 (about 40 years ago)
  • Expiry Date: 06/30/1997 (about 29 years ago)

LOCATIONS

A Address

5004 BOARDWALK PLACE, INDIANAPOLIS IN 46220