Indiana
Professional Licensing Agency
Chanida Siripraparat
Controlled Substance Registration - Physician
License number
01073800B
Date granted
03/28/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
800 West Ninth Street, Jasper IN 47546
indianalicensing.org
ID 27709790
LAST UPDATED 2024-05-13 21:53:21 UTC
LAST UPDATED 2024-05-13 21:53:21 UTC
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