License holder summary

John Van Wienen is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for John Van Wienen is 193 EAST WASHINGTON STREET, MARTINSVILLE IN 46151. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 06/30/1987.

Indiana

Professional Licensing Agency

John Van Wienen
Controlled Substance Registration - Physician
License number
01016259B
Date granted
09/30/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
193 EAST WASHINGTON STREET, MARTINSVILLE IN 46151
indianalicensing.org
ID 5889218
LAST UPDATED 2024-02-16 20:05:51 UTC

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