License holder summary

Ajay Ponugoti is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ajay Ponugoti is Indiana Internal Medicine, 701 E. County Line Road, Suite 101, Greenwood IN 46143. This licensed professional license is current. The license was granted 11/24/2003 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Ajay Ponugoti
Controlled Substance Registration - Physician
License number
01058162B
Date granted
11/24/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana Internal Medicine, 701 E. County Line Road, Suite 101, Greenwood IN 46143
indianalicensing.org
ID 5861394
LAST UPDATED 2024-03-09 09:01:14 UTC

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