License holder summary

Nicole M.J. VanDerheyden is a Controlled Substance Registration - Veterinarian licensed to practice in Indiana. The address on file for Nicole M.J. VanDerheyden is AVIAN & EXOTIC ANIMAL CLINIC, 5353 S MADISON AVENUE, INDIANAPOLIS IN 46227. This licensed professional license is not current. The license was granted 04/17/1989 and expired on 10/15/1997.

Indiana

Professional Licensing Agency

Nicole M.J. VanDerheyden
Controlled Substance Registration - Veterinarian
License number
24004573B
Date granted
04/17/1989
Date expires
10/15/1997
Class
Controlled Substance Registration - Veterinarian
Status
Surrendered
Address
AVIAN & EXOTIC ANIMAL CLINIC, 5353 S MADISON AVENUE, INDIANAPOLIS IN 46227
indianalicensing.org
ID 8640412
LAST UPDATED 2024-02-04 20:38:07 UTC

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