Indiana
Professional Licensing Agency
BASAPPA G BYAKOD
Controlled Substance Registration - Physician
License number
01051772B
Date granted
08/28/2000
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CORNER STONE, 565 WABASH AVENUE, Marion IN 46952
indianalicensing.org
ID 5887706
LAST UPDATED 2024-03-18 18:36:05 UTC
LAST UPDATED 2024-03-18 18:36:05 UTC
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