License holder summary

Geetha Sivam is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Geetha Sivam is 9725 Prairie Avenue, Highland IN 46322. This licensed professional license is current. The license was granted 06/07/1990 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Geetha Sivam
Controlled Substance Registration - Physician
License number
01037848B
Date granted
06/07/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9725 Prairie Avenue, Highland IN 46322
indianalicensing.org
ID 5866468
LAST UPDATED 2024-04-21 12:11:57 UTC

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