Indiana
Professional Licensing Agency
Kishore Kumar Sriram
Controlled Substance Registration - Physician
License number
01070060B
Date granted
06/25/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Bowen Center, 850 N Harrison Street, Warsaw IN 46581
indianalicensing.org
ID 5932679
LAST UPDATED 2026-06-02 21:05:02 UTC
LAST UPDATED 2026-06-02 21:05:02 UTC
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