License holder summary

Chen Tsu Berming Pan is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Chen Tsu Berming Pan is PO BOX 367, 310 OHIO ST, WANATAH IN 46390. This licensed professional license is current. The license was granted 04/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Chen Tsu Berming Pan
Controlled Substance Registration - Physician
License number
01026767B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PO BOX 367, 310 OHIO ST, WANATAH IN 46390
indianalicensing.org
ID 5932225
LAST UPDATED 2024-02-16 09:58:33 UTC

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