Indiana
Professional Licensing Agency
K.M.L.S.T. Moorthi
Controlled Substance Registration - Physician
License number
01063457B
Date granted
06/19/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
90 W 86th Avenue, Merrillville IN 46410
indianalicensing.org
ID 11956346
LAST UPDATED 2026-05-28 23:29:08 UTC
LAST UPDATED 2026-05-28 23:29:08 UTC
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