Indiana
Professional Licensing Agency
Anuradha Divakaruni
Controlled Substance Registration - Physician
License number
01042616B
Date granted
05/26/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1730 45th St, Munster IN 46321
indianalicensing.org
ID 5899788
LAST UPDATED 2024-04-03 21:29:51 UTC
LAST UPDATED 2024-04-03 21:29:51 UTC
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