License holder summary

Man Subhasiriwatana is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Man Subhasiriwatana is 727 Trenton Street, Crown Point IN 46307. This licensed professional license is current. The license was granted 06/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Man Subhasiriwatana
Controlled Substance Registration - Physician
License number
01028059B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
727 Trenton Street, Crown Point IN 46307
indianalicensing.org
ID 5841513
LAST UPDATED 2024-03-02 19:29:34 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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