License holder summary

KOTISWAMY CHOWDARY GORANTLA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KOTISWAMY CHOWDARY GORANTLA is Illiana Medical Institute, 701 Superior Ave., Munster IN 46321. This licensed professional license is current. The license was granted 09/30/1984 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

KOTISWAMY CHOWDARY GORANTLA
Controlled Substance Registration - Physician
License number
01032877B
Date granted
09/30/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Illiana Medical Institute, 701 Superior Ave., Munster IN 46321
indianalicensing.org
ID 5900761
LAST UPDATED 2026-04-28 02:26:46 UTC

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