License holder summary

Koppolu P. Sarma is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Koppolu P. Sarma is 54 ROOSEVELT ROAD, VALPARAISO IN 46383. This licensed professional license is current. The license was granted 12/31/1984 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Koppolu P. Sarma
Controlled Substance Registration - Physician
License number
01027669B
Date granted
12/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
54 ROOSEVELT ROAD, VALPARAISO IN 46383
indianalicensing.org
ID 5929006
LAST UPDATED 2024-03-19 19:17:19 UTC

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