Indiana
Professional Licensing Agency
Jayaprakasarao Konijeti
Controlled Substance Registration - Physician
License number
01038048B
Date granted
02/27/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
7437 S. Westwood lane, Terre Haute IN 47802
indianalicensing.org
ID 5925581
LAST UPDATED 2024-03-03 08:07:40 UTC
LAST UPDATED 2024-03-03 08:07:40 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.