Indiana
Professional Licensing Agency
Bethany Mc Daniel Vanderzwaag
Controlled Substance Registration - Physician
License number
01048946B
Date granted
07/06/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Family Practice Associates, 3301 County Road 6 East, Elkhart IN 46514
indianalicensing.org
ID 5846702
LAST UPDATED 2024-03-02 15:09:26 UTC
LAST UPDATED 2024-03-02 15:09:26 UTC
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