Indiana
Professional Licensing Agency
Kingkaew Asavapakuna
Controlled Substance Registration - Physician
License number
01031324C
Date granted
10/25/1985
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY HOSPITAL, MAIN AT FRANCISCAN RD, CROWN POINT IN 46307
indianalicensing.org
ID 5841360
LAST UPDATED 2024-04-13 12:52:45 UTC
LAST UPDATED 2024-04-13 12:52:45 UTC
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