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 2024-02-06 10:30:45 UTC
LAST UPDATED 2024-02-06 10:30:45 UTC
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