License holder summary

Kongiet Thaera is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kongiet Thaera is 1117 Killarney Drive, Dyer IN 46311. This licensed professional license is current. The license was granted 12/31/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kongiet Thaera
Controlled Substance Registration - Physician
License number
01029739B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1117 Killarney Drive, Dyer IN 46311
indianalicensing.org
ID 5844427
LAST UPDATED 2026-04-20 21:29:56 UTC

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