Indiana
Professional Licensing Agency
Iam P. Bhasitkul
Controlled Substance Registration - Physician
License number
01023664B
Date granted
04/30/1998
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SAINT JOSEPH MEDICAL CENTER, 801 E LASALLE AVENUE, SOUTH BEND IN 46617
indianalicensing.org
ID 5921131
LAST UPDATED 2024-02-11 23:30:27 UTC
LAST UPDATED 2024-02-11 23:30:27 UTC
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