Indiana
Professional Licensing Agency
PRICHA TANPHAICHITR
Controlled Substance Registration - Physician
License number
01031505B
Date granted
03/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MERRILLVILLE CHILDRENS CLINIC, 8300 BROADWAY SUITE C, MERRILLVILLE IN 46410
indianalicensing.org
ID 5891329
LAST UPDATED 2024-05-12 04:02:09 UTC
LAST UPDATED 2024-05-12 04:02:09 UTC
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