License holder summary

Mallik V. V. A. S. Chaganti is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mallik V. V. A. S. Chaganti is Clinic of Family Medicine, 1103 E. Grace St., Rensselaer IN 47978. This licensed professional license is current. The license was granted 06/04/2002 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mallik V. V. A. S. Chaganti
Controlled Substance Registration - Physician
License number
01055341B
Date granted
06/04/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Clinic of Family Medicine, 1103 E. Grace St., Rensselaer IN 47978
indianalicensing.org
ID 5912439
LAST UPDATED 2024-05-11 08:04:17 UTC

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