Indiana
Professional Licensing Agency
GAUTAM PHOOKAN
Controlled Substance Registration - Physician
License number
01050143B
Date granted
03/16/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
CENTRAL IND NEUROSURGERY, 2525 W UNIVERSITY AVE STE 503, MUNCIE IN 47303
indianalicensing.org
ID 5898227
LAST UPDATED 2024-04-23 04:50:05 UTC
LAST UPDATED 2024-04-23 04:50:05 UTC
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