License holder summary

Manga Devi Kodali is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Manga Devi Kodali is Deaconess Chancellor Center for Oncology, 4055 Gateway Boulevard, Newburgh IN 47630. This licensed professional license is current. The license was granted 05/16/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Manga Devi Kodali
Controlled Substance Registration - Physician
License number
01072479B
Date granted
05/16/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Deaconess Chancellor Center for Oncology, 4055 Gateway Boulevard, Newburgh IN 47630
indianalicensing.org
ID 5905936
LAST UPDATED 2024-04-25 12:18:42 UTC

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