D DAVID VANDER LUGT
Controlled Substance Registration - Physician
Indiana 01038324B Active
This Indiana license is held by D DAVID VANDER LUGT. The license is currently active. It was granted on 05/07/1990 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01038324B
- Category: CSR-Physician
- Status: Active
- Date Granted: 05/07/1990 (about 35 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
DEMOTTE PHYSICIANS INC, 520 8TH AVENUE NORTH EAST, DEMOTTE IN 46310
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