Indiana
Professional Licensing Agency
Indrambikai B. Sriram
Controlled Substance Registration - Physician
License number
01040404B
Date granted
08/11/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3030 Lake Ave, Ste 9, Fort Wayne IN 46805
indianalicensing.org
ID 5853422
LAST UPDATED 2026-04-07 05:06:45 UTC
LAST UPDATED 2026-04-07 05:06:45 UTC
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