License holder summary

Bhargavi Mandipalle is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Bhargavi Mandipalle is 1116 Millis Avenue, Suite 101, Boonville IN 47601. This licensed professional license is current. The license was granted 03/12/2012 and expired on 10/31/2015.

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

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