Indiana
Professional Licensing Agency
CHI LAN PHAM
Controlled Substance Registration - Physician
License number
01036086B
Date granted
07/16/1987
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
406 N 1ST ST, VINCENNES IN 47591
indianalicensing.org
ID 5930579
LAST UPDATED 2024-03-04 03:46:19 UTC
LAST UPDATED 2024-03-04 03:46:19 UTC
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