Indiana
Professional Licensing Agency
Philip S Chua
Controlled Substance Registration - Physician
License number
01025105B
Date granted
02/27/1985
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1830 Mirmar Road, Munster IN 46321
indianalicensing.org
ID 5901204
LAST UPDATED 2024-03-17 03:37:04 UTC
LAST UPDATED 2024-03-17 03:37:04 UTC
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