Indiana
Professional Licensing Agency
CHARAT CHIVAPRUK
Physician
License number
01026086A
Date granted
09/11/1975
Date expires
06/30/1991
Class
Physician
Status
Expired Non-Renewable
Address
CROWN POINT IN 46307
indianalicensing.org
ID 6042258
LAST UPDATED 2024-05-08 19:26:20 UTC
LAST UPDATED 2024-05-08 19:26:20 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.