License holder summary

Kamala Bhaskar Modur is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kamala Bhaskar Modur is 500 Stoneyridge Court, Valparaiso IN 46385. This licensed professional license is current. The license was granted 03/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kamala Bhaskar Modur
Controlled Substance Registration - Physician
License number
01032505B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
500 Stoneyridge Court, Valparaiso IN 46385
indianalicensing.org
ID 5928941
LAST UPDATED 2024-02-21 18:39:56 UTC

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