License holder summary

Kunteera Vachirasomboon Tarin is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kunteera Vachirasomboon Tarin is Franciscan Point, 12800 Mississippi Parkway, Crown Point IN 46307. This licensed professional license is current. The license was granted 07/09/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kunteera Vachirasomboon Tarin
Controlled Substance Registration - Physician
License number
01064237B
Date granted
07/09/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Franciscan Point, 12800 Mississippi Parkway, Crown Point IN 46307
indianalicensing.org
ID 5841406
LAST UPDATED 2024-04-26 05:27:11 UTC

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