License holder summary

Randall Cammenga is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Randall Cammenga is 200 High Park Ave., Goshen IN 46526. This licensed professional license is current. The license was granted 03/25/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Randall Cammenga
Controlled Substance Registration - Physician
License number
01041177B
Date granted
03/25/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
200 High Park Ave., Goshen IN 46526
indianalicensing.org
ID 5859054
LAST UPDATED 2024-03-01 16:52:26 UTC

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