License holder summary

MARIA R DE VRIES is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARIA R DE VRIES is WHITE COUNTY HOSPITAL, 1101 O CONNOR BLVD, MONTICELLO IN 47960. This licensed professional license is not current. The license was granted 06/25/1999 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

MARIA R DE VRIES
Controlled Substance Registration - Physician
License number
01050770B
Date granted
06/25/1999
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
WHITE COUNTY HOSPITAL, 1101 O CONNOR BLVD, MONTICELLO IN 47960
indianalicensing.org
ID 5896603
LAST UPDATED 2024-04-11 05:26:51 UTC

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