License holder summary

Mangalore Jairam Subba Rao is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mangalore Jairam Subba Rao is Marshal County Surgical Associates, 1919 Lake Ave Suite 102, Plymouth IN 46563. This licensed professional license is current. The license was granted 08/13/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mangalore Jairam Subba Rao
Controlled Substance Registration - Physician
License number
01041718B
Date granted
08/13/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Marshal County Surgical Associates, 1919 Lake Ave Suite 102, Plymouth IN 46563
indianalicensing.org
ID 5910606
LAST UPDATED 2024-03-09 13:57:32 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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