Indiana
Professional Licensing Agency
SAMPANTA BOONJARERN
Controlled Substance Registration - Physician
License number
01027321B
Date granted
11/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Sampanta Boonjarern, 297 FRANCISCAN ROAD #207, CROWN POINT IN 46307
indianalicensing.org
ID 5841886
LAST UPDATED 2024-03-29 22:48:42 UTC
LAST UPDATED 2024-03-29 22:48:42 UTC
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