License holder summary

TIRDKIAT SOMBUN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for TIRDKIAT SOMBUN is MARION OBSTETRICS & GYNECOLOGY CLINIC, 330 N WABASH AVENUE SUITE 400, MARION IN 46952. This licensed professional license is not current. The license was granted 12/04/1987 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

TIRDKIAT SOMBUN
Controlled Substance Registration - Physician
License number
01036206B
Date granted
12/04/1987
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MARION OBSTETRICS & GYNECOLOGY CLINIC, 330 N WABASH AVENUE SUITE 400, MARION IN 46952
indianalicensing.org
ID 5888925
LAST UPDATED 2024-03-08 06:43:47 UTC

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