Jiroj Thephasdin
Controlled Substance Registration - Physician
Indiana 01026596B Suspended
This Indiana license was held by Jiroj Thephasdin. The license is no longer active. It was granted on 04/01/1985 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01026596B
- Category: CSR-Physician
- Status: Suspended
- Date Granted: 04/01/1985 (about 41 years ago)
- Expiry Date: 06/30/2011 (almost 15 years ago)
LOCATIONS
A Address
8695 CONNECTICUT STREET # D, MERRILLVILLE IN 46410