License holder summary

MALUT CHANSANCHAI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MALUT CHANSANCHAI is ST ANTHONY MED CENTER, MAIN AT FRANCISCAN, CROWN POINT IN 46307. This licensed professional license is not current. The license was granted 08/20/1992 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

MALUT CHANSANCHAI
Controlled Substance Registration - Physician
License number
01040219B
Date granted
08/20/1992
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY MED CENTER, MAIN AT FRANCISCAN, CROWN POINT IN 46307
indianalicensing.org
ID 5841505
LAST UPDATED 2024-04-03 13:17:22 UTC

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