License holder summary

Kirivat Jiyamapa is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kirivat Jiyamapa is 11220 Manor Drive, Plymouth IN 46563. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Kirivat Jiyamapa
Controlled Substance Registration - Physician
License number
01030063B
Date granted
07/31/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
11220 Manor Drive, Plymouth IN 46563
indianalicensing.org
ID 5910591
LAST UPDATED 2024-04-09 12:24:40 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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