License holder summary

Krishna Veni Gorantla is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Krishna Veni Gorantla is 9130 COLUMBIA AVENUE #B, MUNSTER IN 46321. This licensed professional license is current. The license was granted 12/31/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Krishna Veni Gorantla
Controlled Substance Registration - Physician
License number
01033050B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9130 COLUMBIA AVENUE #B, MUNSTER IN 46321
indianalicensing.org
ID 5900764
LAST UPDATED 2024-02-29 20:41:31 UTC

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