License holder summary

YUPADI PRASERTWANITCH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for YUPADI PRASERTWANITCH is 51830 SADDLE RIDGE LANE SOUTH, GRANGER IN 46530. This licensed professional license is current. The license was granted 06/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

YUPADI PRASERTWANITCH
Controlled Substance Registration - Physician
License number
01027483B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
51830 SADDLE RIDGE LANE SOUTH, GRANGER IN 46530
indianalicensing.org
ID 5859835
LAST UPDATED 2026-03-29 10:29:24 UTC

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