License holder summary

MAI TU PHUNG is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for MAI TU PHUNG is 1910 West Royale Drive, Muncie IN 47304. This licensed professional license is not current. The license was granted 04/24/2001 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

MAI TU PHUNG
Controlled Substance Registration-Osteopathic Physician
License number
02002307B
Date granted
04/24/2001
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
1910 West Royale Drive, Muncie IN 47304
indianalicensing.org
ID 5809765
LAST UPDATED 2024-02-01 10:09:32 UTC

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