Indiana
Professional Licensing Agency
Douglas J. Van Putten
Controlled Substance Registration - Physician
License number
01039408B
Date granted
06/27/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
WOODLAND MEDICAL PAVILION, 8865 W. 400 N. - SUITE 120, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892473
LAST UPDATED 2026-03-12 20:27:28 UTC
LAST UPDATED 2026-03-12 20:27:28 UTC
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