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
LAST UPDATED 2024-03-09 09:01:14 UTC
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