License holder summary

Scott John VanSlambrouck is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Scott John VanSlambrouck is 1452 East 85th Avenue, Merrillville IN 46410. This licensed professional license is not current. The license was granted 03/19/2010 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Scott John VanSlambrouck
Controlled Substance Registration - Dentist
License number
12011018D
Date granted
03/19/2010
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1452 East 85th Avenue, Merrillville IN 46410
indianalicensing.org
ID 5111345
LAST UPDATED 2026-05-29 06:37:23 UTC

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