License holder summary

SAMPANTA BOONJARERN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SAMPANTA BOONJARERN is Sampanta Boonjarern, 297 FRANCISCAN ROAD #207, CROWN POINT IN 46307. This licensed professional license is not current. The license was granted 11/30/1986 and expired on 10/31/2013.

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 2026-05-14 22:46:57 UTC

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