License holder summary

Leticia K Chy Koa is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Leticia K Chy Koa is 1951 W Glen Park Avenue, Griffith IN 46319-3703. This licensed professional license is not current. The license was granted 11/30/1984 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Leticia K Chy Koa
Controlled Substance Registration - Physician
License number
01024246B
Date granted
11/30/1984
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
1951 W Glen Park Avenue, Griffith IN 46319-3703
indianalicensing.org
ID 5862995
LAST UPDATED 2024-02-10 14:33:55 UTC

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