Indiana
Professional Licensing Agency
Christine A. Gupta
Controlled Substance Registration - Physician
License number
01054121B
Date granted
05/10/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
13430 N.Meridian Ste 364, Carmel IN 46032
indianalicensing.org
ID 5830093
LAST UPDATED 2024-03-07 02:28:20 UTC
LAST UPDATED 2024-03-07 02:28:20 UTC
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