License holder summary

Chetan Puranik is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Chetan Puranik is 504 Legacy Plaza West, La Porte IN 46350. This licensed professional license is current. The license was granted 04/17/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Chetan Puranik
Controlled Substance Registration - Physician
License number
01063580B
Date granted
04/17/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
504 Legacy Plaza West, La Porte IN 46350
indianalicensing.org
ID 5877762
LAST UPDATED 2024-02-17 20:02:15 UTC

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