Indiana
Professional Licensing Agency
James Ray Vancuren
Controlled Substance Registration - Physician
License number
01022379B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1262 Camden Ct., Goshen IN 46526
indianalicensing.org
ID 5858699
LAST UPDATED 2024-05-07 11:57:41 UTC
LAST UPDATED 2024-05-07 11:57:41 UTC
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