Indiana
Professional Licensing Agency
Geetika Gupta
Controlled Substance Registration - Physician
License number
01067381B
Date granted
10/14/2009
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Mary Medical Center, 1500 S. Lake Park Ave., Hobart IN 46342
indianalicensing.org
ID 5867131
LAST UPDATED 2026-04-30 04:12:23 UTC
LAST UPDATED 2026-04-30 04:12:23 UTC
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