Indiana
Professional Licensing Agency
Charles J. Vantassel, Jr.
Controlled Substance Registration - Physician
License number
01014997B
Date granted
12/31/1985
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired Non-Renewable
Address
2460 Glebe Street, Apt 109, Carmel IN 46032-7155
indianalicensing.org
ID 5830068
LAST UPDATED 2024-02-11 03:11:43 UTC
LAST UPDATED 2024-02-11 03:11:43 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.