Indiana
Professional Licensing Agency
Maarten Nieuwenhuizen
Controlled Substance Registration - Physician
License number
01057169B
Date granted
03/25/2003
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Grant Blackford Mental Health, 505 N. Wabash, Marion IN 46952
indianalicensing.org
ID 5888332
LAST UPDATED 2024-03-29 18:12:14 UTC
LAST UPDATED 2024-03-29 18:12:14 UTC
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