Indiana
Professional Licensing Agency
Madhuri Guntupalli Chilakapati
Controlled Substance Registration - Physician
License number
01059400B
Date granted
07/08/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Deen-Gross Sye Centers, 1400 S. Lake Park Avenue, Ste 103, Hobart IN 46342
indianalicensing.org
ID 5867390
LAST UPDATED 2024-05-06 03:56:37 UTC
LAST UPDATED 2024-05-06 03:56:37 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.