License holder summary

SARAYUT SUPAPANNACHART is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SARAYUT SUPAPANNACHART is ST MARGARET HOSPITAL, 5454 HOHMAN AVENUE, HAMMOND IN 46320. This licensed professional license is not current. The license was granted 04/20/1990 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

SARAYUT SUPAPANNACHART
Controlled Substance Registration - Physician
License number
01038279B
Date granted
04/20/1990
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST MARGARET HOSPITAL, 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5865302
LAST UPDATED 2024-06-13 07:57:19 UTC

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