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 2026-03-31 12:34:53 UTC
LAST UPDATED 2026-03-31 12:34:53 UTC
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