License holder summary

Anantha Lakshmi Brahmamdam is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Anantha Lakshmi Brahmamdam is Aegis Clarian West, 1115 N. Ronald Reagan Pkwy, Suite 318, Avon IN 46123. This licensed professional license is not current. The license was granted 10/10/2007 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Anantha Lakshmi Brahmamdam
Controlled Substance Registration - Physician
License number
01063705B
Date granted
10/10/2007
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Aegis Clarian West, 1115 N. Ronald Reagan Pkwy, Suite 318, Avon IN 46123
indianalicensing.org
ID 5819891
LAST UPDATED 2024-04-15 18:55:10 UTC

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