License holder summary

Gaurav Kumar is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Gaurav Kumar is 3156 Willowcreek Road, Portage IN 46368. This licensed professional license is current. The license was granted 03/16/2009 and expired on 10/31/2015.

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

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