Indiana
Professional Licensing Agency
Gaurav Kumar
Controlled Substance Registration - Physician
License number
01065464B
Date granted
03/16/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3156 Willowcreek Road, Portage IN 46368
indianalicensing.org
ID 5911011
LAST UPDATED 2024-05-04 08:28:13 UTC
LAST UPDATED 2024-05-04 08:28:13 UTC
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