License holder summary

Viroj Juisai is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Viroj Juisai is 100037 Polk Court, Crown Point IN 46307-2807. This licensed professional license is not current. The license was granted 01/30/1991 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Viroj Juisai
Controlled Substance Registration - Physician
License number
01039013B
Date granted
01/30/1991
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
100037 Polk Court, Crown Point IN 46307-2807
indianalicensing.org
ID 5842116
LAST UPDATED 2024-02-25 11:31:29 UTC

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