Indiana
Professional Licensing Agency
JOYCE DEHAAN
Controlled Substance Registration - Physician
License number
01048870B
Date granted
06/26/1998
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
VICTORY CLINCAL SERVICES, 4005 WESTERN AVENUE, SOUTH BEND IN 46619
indianalicensing.org
ID 5921447
LAST UPDATED 2024-03-05 18:14:02 UTC
LAST UPDATED 2024-03-05 18:14:02 UTC
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