MATTHEW TODD VANDER WOUDE
Controlled Substance Registration-Osteopathic Physician
Indiana 02001753B Expired
This Indiana license was held by MATTHEW TODD VANDER WOUDE. The license is no longer active. It was granted on 07/01/1996 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 02001753B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 07/01/1996 (about 29 years ago)
- Expiry Date: 06/30/1999 (about 26 years ago)
LOCATIONS
A Address
ST MARGARET MERCY HEALTHCARE CTR EMER DP, 5454 HOHMAN AVENUE, HAMMOND IN 46320