Indiana
Professional Licensing Agency
SODSAI JAIWATANA
Controlled Substance Registration - Physician
License number
01031801B
Date granted
07/31/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1131 LA FORESTIERE COURT, DYER IN 46311
indianalicensing.org
ID 5844691
LAST UPDATED 2024-04-05 06:34:45 UTC
LAST UPDATED 2024-04-05 06:34:45 UTC
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