Indiana
Professional Licensing Agency
Bhargavi Mandipalle
Controlled Substance Registration - Physician
License number
01070721B
Date granted
03/12/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1116 Millis Avenue, Suite 101, Boonville IN 47601
indianalicensing.org
ID 5827156
LAST UPDATED 2024-04-24 02:06:22 UTC
LAST UPDATED 2024-04-24 02:06:22 UTC
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