License holder summary

MATTHEW TODD VANDER WOUDE is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for MATTHEW TODD VANDER WOUDE is ST MARGARET MERCY HEALTHCARE CTR EMER DP, 5454 HOHMAN AVENUE, HAMMOND IN 46320. This licensed professional license is not current. The license was granted 07/01/1996 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

MATTHEW TODD VANDER WOUDE
Controlled Substance Registration-Osteopathic Physician
License number
02001753B
Date granted
07/01/1996
Date expires
06/30/1999
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST MARGARET MERCY HEALTHCARE CTR EMER DP, 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5802744
LAST UPDATED 2024-03-05 15:53:27 UTC

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