License holder summary

Haritha Mikkilineni is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Haritha Mikkilineni is Memorial Hospital & Health Care, 800 West 9th Street, Jasper IN 47546. This licensed professional license is not current. The license was granted 06/12/2012 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Haritha Mikkilineni
Controlled Substance Registration - Physician
License number
01071258B
Date granted
06/12/2012
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Memorial Hospital & Health Care, 800 West 9th Street, Jasper IN 47546
indianalicensing.org
ID 5871587
LAST UPDATED 2024-03-30 12:35:01 UTC

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