License holder summary

Jiroj Thephasdin is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jiroj Thephasdin is 8695 CONNECTICUT STREET # D, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 04/01/1985 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Jiroj Thephasdin
Controlled Substance Registration - Physician
License number
01026596B
Date granted
04/01/1985
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
8695 CONNECTICUT STREET # D, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890568
LAST UPDATED 2024-02-09 05:25:52 UTC

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