License holder summary

DAVID THE PHAM is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID THE PHAM is 3501 DIXIE BEE ROAD, TERRE HAUTE IN 47802. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

DAVID THE PHAM
Controlled Substance Registration - Physician
License number
01032241B
Date granted
12/31/1985
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3501 DIXIE BEE ROAD, TERRE HAUTE IN 47802
indianalicensing.org
ID 5924963
LAST UPDATED 2024-04-27 19:54:58 UTC

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