License holder summary

Thieu Gia Pham is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thieu Gia Pham is MUSCATATUCK STATE HOSPITAL, BOX 77, BUTLERVILLE IN 47223. This licensed professional license is not current. The license was granted 07/31/1984 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Thieu Gia Pham
Controlled Substance Registration - Physician
License number
01032561B
Date granted
07/31/1984
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MUSCATATUCK STATE HOSPITAL, BOX 77, BUTLERVILLE IN 47223
indianalicensing.org
ID 5829361
LAST UPDATED 2024-04-07 08:27:08 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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