Indiana
Professional Licensing Agency
Kalyana Chakravarthi Lavu
Controlled Substance Registration - Physician
License number
01072234B
Date granted
04/02/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Deaconess Clinic, 4015 Gateway Boulevard, Newburgh IN 47630-8925
indianalicensing.org
ID 5905809
LAST UPDATED 2024-03-07 05:40:08 UTC
LAST UPDATED 2024-03-07 05:40:08 UTC
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