Indiana
Professional Licensing Agency
Lakshmi Rajyam Gullapalli
Controlled Substance Registration - Physician
License number
01048356B
Date granted
01/27/2004
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Goshen General Hospital, 200 High Park Ave, Goshen IN 46526
indianalicensing.org
ID 5858845
LAST UPDATED 2024-05-04 08:40:07 UTC
LAST UPDATED 2024-05-04 08:40:07 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.