Indiana
Professional Licensing Agency
Maddalithirumal Charyalu
Controlled Substance Registration - Physician
License number
01066456B
Date granted
07/19/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Fayette Regional Health System, 1941 Virginia Ave., Connersville IN 47331
indianalicensing.org
ID 27702121
LAST UPDATED 2024-03-28 02:35:35 UTC
LAST UPDATED 2024-03-28 02:35:35 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.