License holder summary

Latchaiah Chirumamilla is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Latchaiah Chirumamilla is 505 WEST HOMER STREET STE 201, SALEM IN 47167. This licensed professional license is current. The license was granted 05/21/1997 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Latchaiah Chirumamilla
Controlled Substance Registration - Physician
License number
01046148B
Date granted
05/21/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
505 WEST HOMER STREET STE 201, SALEM IN 47167
indianalicensing.org
ID 5916721
LAST UPDATED 2024-03-02 00:19:36 UTC

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