Indiana
Professional Licensing Agency
IMMANUEL STEPHEN THAMBAN
Controlled Substance Registration - Physician
License number
01037857B
Date granted
11/02/1989
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
COMMUNITY HOSPITAL, 412 NORTH MONROE STREET, WILLIAMSPORT IN 47993
indianalicensing.org
ID 5935445
LAST UPDATED 2024-03-05 00:29:27 UTC
LAST UPDATED 2024-03-05 00:29:27 UTC
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