License holder summary

Thongchai Vachirasomboon is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thongchai Vachirasomboon is ST ANTHONY MEDICAL CENTER, 1201 SOUTH MAIN STREET, CROWN POINT IN 46307. This licensed professional license is current. The license was granted 01/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Thongchai Vachirasomboon
Controlled Substance Registration - Physician
License number
01028375B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ST ANTHONY MEDICAL CENTER, 1201 SOUTH MAIN STREET, CROWN POINT IN 46307
indianalicensing.org
ID 5841973
LAST UPDATED 2024-06-11 05:25:01 UTC

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