Indiana
Professional Licensing Agency
Thomas Ray VanderHeyden, Jr.
Controlled Substance Registration-Osteopathic Physician
License number
02004009B
Date granted
05/22/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
17501 Generations Dr, South Bend IN 46635
indianalicensing.org
ID 5813749
LAST UPDATED 2024-03-14 06:21:59 UTC
LAST UPDATED 2024-03-14 06:21:59 UTC
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