Indiana
Professional Licensing Agency
Atiman N. Damodaran
Controlled Substance Registration - Physician
License number
01028450B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
187 Wexford Road, Valparaiso IN 46385
indianalicensing.org
ID 5928100
LAST UPDATED 2024-03-16 06:55:28 UTC
LAST UPDATED 2024-03-16 06:55:28 UTC
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