License holder summary

Wallace R. Vandenbosch is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Wallace R. Vandenbosch is 906 RIVER ROAD, BLUFFTON IN 46714. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

Wallace R. Vandenbosch
Controlled Substance Registration - Physician
License number
01014996B
Date granted
09/30/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
906 RIVER ROAD, BLUFFTON IN 46714
indianalicensing.org
ID 5827069
LAST UPDATED 2024-03-04 22:23:17 UTC

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