Indiana
Professional Licensing Agency
MAI TU PHUNG
Controlled Substance Registration-Osteopathic Physician
License number
02002307B
Date granted
04/24/2001
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
1910 West Royale Drive, Muncie IN 47304
indianalicensing.org
ID 5809765
LAST UPDATED 2024-03-11 21:02:56 UTC
LAST UPDATED 2024-03-11 21:02:56 UTC
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