Indiana
Professional Licensing Agency
Anuradha Thumuluri
Controlled Substance Registration - Physician
License number
01056933B
Date granted
12/10/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3500 S. Lafountain St., Kokomo IN 46902
indianalicensing.org
ID 5875594
LAST UPDATED 2024-04-12 13:26:42 UTC
LAST UPDATED 2024-04-12 13:26:42 UTC
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