License holder summary

SUPORN PONGLORPISIT is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SUPORN PONGLORPISIT is GREENE CNTY GEN HOSP, ROUTE 1 BOX 1000, LINTON IN 47441. This licensed professional license is current. The license was granted 12/27/1991 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

SUPORN PONGLORPISIT
Controlled Substance Registration - Physician
License number
01039904B
Date granted
12/27/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
GREENE CNTY GEN HOSP, ROUTE 1 BOX 1000, LINTON IN 47441
indianalicensing.org
ID 5884656
LAST UPDATED 2024-03-14 19:11:19 UTC

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