Indiana
Professional Licensing Agency
ELAINE MARIE VLASKAMP
Controlled Substance Registration - Physician
License number
01012207B
Date granted
09/30/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
500 W CHARLES STREET, MUNCIE IN 47305
indianalicensing.org
ID 5898141
LAST UPDATED 2024-04-01 22:30:55 UTC
LAST UPDATED 2024-04-01 22:30:55 UTC
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