Indiana
Professional Licensing Agency
Chandana Vavilala
Controlled Substance Registration - Physician
License number
01057596B
Date granted
03/05/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
NORTH POINT INTERNAL MEDICINE, 2050 NORTH MAIN STREET, CROWN POINT IN 46307
indianalicensing.org
ID 5840819
LAST UPDATED 2024-04-16 04:19:00 UTC
LAST UPDATED 2024-04-16 04:19:00 UTC
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