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
LAST UPDATED 2026-03-29 10:29:24 UTC
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