License holder summary

ANNAPURNA MADDALI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ANNAPURNA MADDALI is Anna Maddali M.D. Emergency Dept. C/O Fayette Mem, 1941 Virginia Avenue, Connersville IN 47331. This licensed professional license is not current. The license was granted 12/13/2002 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

ANNAPURNA MADDALI
Controlled Substance Registration - Physician
License number
01045621B
Date granted
12/13/2002
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Anna Maddali M.D. Emergency Dept. C/O Fayette Mem, 1941 Virginia Avenue, Connersville IN 47331
indianalicensing.org
ID 5837594
LAST UPDATED 2026-04-03 09:24:31 UTC

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