License holder summary

Katrina Toxopeus Vanderveen is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Katrina Toxopeus Vanderveen is 620 W. Edison Rd., Ste 110, Mishawaka IN 46545. This licensed professional license is current. The license was granted 04/01/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Katrina Toxopeus Vanderveen
Controlled Substance Registration - Physician
License number
01058810B
Date granted
04/01/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
620 W. Edison Rd., Ste 110, Mishawaka IN 46545
indianalicensing.org
ID 5895332
LAST UPDATED 2024-03-01 01:25:17 UTC

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