License holder summary

Manoj Subbarao Wunnava is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Manoj Subbarao Wunnava is Center For Family Medicine, 5454 Broadway, Merrillville IN 46410. This licensed professional license is not current. The license was granted 03/26/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Manoj Subbarao Wunnava
Controlled Substance Registration - Physician
License number
01053084B
Date granted
03/26/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Center For Family Medicine, 5454 Broadway, Merrillville IN 46410
indianalicensing.org
ID 5890981
LAST UPDATED 2024-05-18 23:34:26 UTC

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