License holder summary

PHUNGMAI T CONGTANG is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PHUNGMAI T CONGTANG is 1015 MICHIGAN AVE, LOGANSPORT IN 46947. This licensed professional license is not current. The license was granted 12/31/1983 and expired on 12/31/1983.

Indiana

Professional Licensing Agency

PHUNGMAI T CONGTANG
Controlled Substance Registration - Physician
License number
01032087B
Date granted
12/31/1983
Date expires
12/31/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1015 MICHIGAN AVE, LOGANSPORT IN 46947
indianalicensing.org
ID 5885551
LAST UPDATED 2026-06-11 10:26:15 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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