Indiana
Professional Licensing Agency
Leenata Gangadhar Maddiwar
Controlled Substance Registration - Physician
License number
01048667B
Date granted
05/28/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Westside Pediatrics Inc., 24095 State Line Road, Lawrenceburg IN 47025
indianalicensing.org
ID 5882652
LAST UPDATED 2024-04-08 06:56:11 UTC
LAST UPDATED 2024-04-08 06:56:11 UTC
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