License holder summary

AJANTA GOSWAMI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for AJANTA GOSWAMI is BALL MEMORIAL HOSPITAL, 205 NORTH TILLOTSON AVE, MUNCIE IN 47304. This licensed professional license is current. The license was granted 06/23/1999 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

AJANTA GOSWAMI
Controlled Substance Registration - Physician
License number
01050577B
Date granted
06/23/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
BALL MEMORIAL HOSPITAL, 205 NORTH TILLOTSON AVE, MUNCIE IN 47304
indianalicensing.org
ID 5897561
LAST UPDATED 2024-02-07 05:17:38 UTC

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