Indiana
Professional Licensing Agency
Taratip Thupvong
Physician
License number
01065564A
Date granted
07/08/2008
Date expires
06/30/2009
Class
Physician
Status
Expired Non-Renewable
Address
Valparaiso IN 46385
indianalicensing.org
ID 6108073
LAST UPDATED 2024-02-14 23:02:19 UTC
LAST UPDATED 2024-02-14 23:02:19 UTC
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