Indiana
Professional Licensing Agency
TIMOTHY RAY VADEBONCOUER
Controlled Substance Registration - Physician
License number
01051696B
Date granted
11/22/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
COMMUNITY HOSPITAL OF MUNSTER, 901 MACARTHUR BLVD, MUNSTER IN 46321
indianalicensing.org
ID 5901696
LAST UPDATED 2024-02-06 15:46:12 UTC
LAST UPDATED 2024-02-06 15:46:12 UTC
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