Indiana
Professional Licensing Agency
Kolala Vasudevamurthy
Controlled Substance Registration - Physician
License number
01026022C
Date granted
08/21/1975
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
315 NORTH WESTERN AVENUE, MARION IN 46952
indianalicensing.org
ID 5888279
LAST UPDATED 2026-04-14 15:47:33 UTC
LAST UPDATED 2026-04-14 15:47:33 UTC
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