MASARU CHIBA
Controlled Substance Registration - Physician
Indiana 01053562B Expired
This Indiana license was held by MASARU CHIBA. The license is no longer active. It was granted on 01/23/2001 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01053562B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/23/2001 (over 25 years ago)
- Expiry Date: 06/30/2009 (about 17 years ago)
LOCATIONS
A Address
ARNETT CLINIC, 1500 SALEM STREET, Lafayette IN 47904