Kirivat Jiyamapa
Controlled Substance Registration - Physician
Indiana 01030063B Expired
This Indiana license was held by Kirivat Jiyamapa. The license is no longer active. It was granted on 07/31/1986 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01030063B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/31/1986 (almost 39 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Address
11220 Manor Drive, Plymouth IN 46563