License holder summary

Mimi E. Van Der Leden is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mimi E. Van Der Leden is Family Care Centers of Indiana, 919 Main Street, Dyer IN 46311. This licensed professional license is not current. The license was granted 06/29/2000 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Mimi E. Van Der Leden
Controlled Substance Registration - Physician
License number
01052553B
Date granted
06/29/2000
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Family Care Centers of Indiana, 919 Main Street, Dyer IN 46311
indianalicensing.org
ID 5844502
LAST UPDATED 2024-03-07 23:06:06 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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