License holder summary

Goli Venkata Subba Rao is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Goli Venkata Subba Rao is 153 EAST HALT DRIVE, P.O. Box 10009, Terre Haute IN 47801. This licensed professional license is not current. The license was granted 03/02/1992 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Goli Venkata Subba Rao
Controlled Substance Registration - Physician
License number
01040047B
Date granted
03/02/1992
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
153 EAST HALT DRIVE, P.O. Box 10009, Terre Haute IN 47801
indianalicensing.org
ID 5925329
LAST UPDATED 2024-04-11 12:54:13 UTC

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