Indiana
Professional Licensing Agency
Constance R. Van Valer
Controlled Substance Registration - Physician
License number
01025467B
Date granted
12/21/1987
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
344 Lawnwood Drive, Greenwood IN 46142
indianalicensing.org
ID 5861622
LAST UPDATED 2024-03-27 06:06:18 UTC
LAST UPDATED 2024-03-27 06:06:18 UTC
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