License holder summary

VINENDA T PANDJAITAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for VINENDA T PANDJAITAN is 910 WASHINGTON STREET, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 05/22/1986 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

VINENDA T PANDJAITAN
Controlled Substance Registration - Physician
License number
01034896B
Date granted
05/22/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
910 WASHINGTON STREET, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893901
LAST UPDATED 2024-04-16 20:30:17 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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