License holder summary

Gautham Viswanathan is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Gautham Viswanathan is 6924 Indianapolis Blvd., Hammond IN 46324. This licensed professional license is current. The license was granted 07/07/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Gautham Viswanathan
Controlled Substance Registration - Physician
License number
01059360B
Date granted
07/07/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6924 Indianapolis Blvd., Hammond IN 46324
indianalicensing.org
ID 5863997
LAST UPDATED 2024-03-02 08:56:12 UTC

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