License holder summary

Corey J Vande Zandschulp is a Physician licensed to practice in Indiana. The address on file for Corey J Vande Zandschulp is Portland OR 97229. This licensed professional license is not current. The license was granted 05/03/2005 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Corey J Vande Zandschulp
Physician
License number
01060653A
Date granted
05/03/2005
Date expires
06/30/2007
Class
Physician
Status
Expired Non-Renewable
Address
Portland OR 97229
indianalicensing.org
ID 6094094
LAST UPDATED 2024-05-03 06:31:37 UTC

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