Indiana
Professional Licensing Agency
Lynnette Mae Valentijn
Controlled Substance Registration - Physician
License number
01037473B
Date granted
05/03/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
BRISTOL STREET PEDIATRIC ASSOCIATES, 1627 EAST BRISTOL, ELKHART IN 46514
indianalicensing.org
ID 5847817
LAST UPDATED 2024-04-25 17:47:12 UTC
LAST UPDATED 2024-04-25 17:47:12 UTC
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