Indiana
Professional Licensing Agency
Vannara Sakbun
Controlled Substance Registration - Physician
License number
01043923B
Date granted
06/29/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
611 E Springhill Drive, Terre Haute IN 47802
indianalicensing.org
ID 5926933
LAST UPDATED 2024-02-11 14:21:51 UTC
LAST UPDATED 2024-02-11 14:21:51 UTC
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