Indiana
Professional Licensing Agency
FRANCIS JAMES VANDERWALL
Controlled Substance Registration - Dentist
License number
12005777B
Date granted
09/30/1986
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
625 RIDGE ROAD, MUNSTER IN 46321
indianalicensing.org
ID 5114614
LAST UPDATED 2024-03-12 15:04:58 UTC
LAST UPDATED 2024-03-12 15:04:58 UTC
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