License holder summary

Kovilparambil Xavier Anthony is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kovilparambil Xavier Anthony is Gary Community Mental Health Center, 1100 West 6th Avenue, Gary IN 46402. This licensed professional license is not current. The license was granted 12/08/1993 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Kovilparambil Xavier Anthony
Controlled Substance Registration - Physician
License number
01041392B
Date granted
12/08/1993
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Gary Community Mental Health Center, 1100 West 6th Avenue, Gary IN 46402
indianalicensing.org
ID 5856884
LAST UPDATED 2024-02-26 19:37:21 UTC

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