Indiana
Professional Licensing Agency
D DAVID VANDER LUGT
Controlled Substance Registration - Physician
License number
01038324B
Date granted
05/07/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
DEMOTTE PHYSICIANS INC, 520 8TH AVENUE NORTH EAST, DEMOTTE IN 46310
indianalicensing.org
ID 5843561
LAST UPDATED 2026-05-23 20:13:38 UTC
LAST UPDATED 2026-05-23 20:13:38 UTC
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