License holder summary

LUYEN VAN TA is a Physician licensed to practice in Indiana. The address on file for LUYEN VAN TA is BROOKLYN NY 11219. This licensed professional license is not current. The license was granted 10/14/1980 and expired on 06/30/1982.

Indiana

Professional Licensing Agency

LUYEN VAN TA
Physician
License number
01030346A
Date granted
10/14/1980
Date expires
06/30/1982
Class
Physician
Status
Expired Non-Renewable
Address
BROOKLYN NY 11219
indianalicensing.org
ID 6032705
LAST UPDATED 2024-05-05 11:08:12 UTC

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