Indiana
Professional Licensing Agency
James Michael Van Daalen
Controlled Substance Registration - Physician
License number
01046343B
Date granted
02/09/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
207 Sparks Ave. Suite# 404, Jeffersonville IN 47130
indianalicensing.org
ID 5873071
LAST UPDATED 2024-04-17 04:01:55 UTC
LAST UPDATED 2024-04-17 04:01:55 UTC
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