Indiana
Professional Licensing Agency
Frederick Noel Vandeman
Controlled Substance Registration - Physician
License number
01037308B
Date granted
03/28/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6119 West Jefferson Blvd, Fort Wayne IN 46804
indianalicensing.org
ID 5853351
LAST UPDATED 2024-04-25 10:47:40 UTC
LAST UPDATED 2024-04-25 10:47:40 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.