License holder summary

Ami Shantanu Kulkarni is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Ami Shantanu Kulkarni is Lutheran Medical Group, LLC, 7916 West Jefferson Blvd, Fort Wayne IN 46804. This licensed professional license is current. The license was granted 10/09/2003 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Ami Shantanu Kulkarni
Controlled Substance Registration-Osteopathic Physician
License number
02002687B
Date granted
10/09/2003
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Lutheran Medical Group, LLC, 7916 West Jefferson Blvd, Fort Wayne IN 46804
indianalicensing.org
ID 5800228
LAST UPDATED 2024-02-20 07:05:13 UTC

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