Indiana
Professional Licensing Agency
Ngan T. Van
Controlled Substance Registration - Physician
License number
01059892B
Date granted
10/21/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Main Street Medical Group & Med Point, 6913 N. Main Street, Granger IN 46530
indianalicensing.org
ID 5859623
LAST UPDATED 2024-05-01 14:47:49 UTC
LAST UPDATED 2024-05-01 14:47:49 UTC
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