PIPIT CHIEMMONGKOLTIP

Controlled Substance Registration - Physician

Indiana  01028310C   Expired

This Indiana license was held by PIPIT CHIEMMONGKOLTIP. The license is no longer active. It was granted on 10/28/1999 and expired on 06/30/2009

LICENSE DETAILS

  • License Number: 01028310C
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 10/28/1999 (over 25 years ago)
  • Expiry Date: 06/30/2009 (almost 16 years ago)

LOCATIONS

A Address

MUNSTER CLINIC, 800 MACARTHUR BLVD STE 3, MUNSTER IN 46321