License holder summary

HARINATH MALLAVARAPU is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for HARINATH MALLAVARAPU is 1704 LAFAYETTE ROAD # 1, CRAWFORDSVILLE IN 47933. This licensed professional license is not current. The license was granted 01/26/1995 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

HARINATH MALLAVARAPU
Controlled Substance Registration - Physician
License number
01043422B
Date granted
01/26/1995
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1704 LAFAYETTE ROAD # 1, CRAWFORDSVILLE IN 47933
indianalicensing.org
ID 5840195
LAST UPDATED 2024-05-02 00:25:58 UTC

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