Siong Hoat Thong
Controlled Substance Registration - Physician
Indiana 01025628B Expired
This Indiana license was held by Siong Hoat Thong. The license is no longer active. It was granted on 03/10/1986 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01025628B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/10/1986 (about 39 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
Siong Hoat Thong, 5734 COVENTRY LANE, FORT WAYNE IN 46804