Indiana
Professional Licensing Agency
Meenakshi Gupta
Controlled Substance Registration - Physician
License number
01071126B
Date granted
06/07/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Heart City Health Center, 236 Simpson Avenue, Elkhart IN 46516
indianalicensing.org
ID 5847944
LAST UPDATED 2024-04-01 06:55:24 UTC
LAST UPDATED 2024-04-01 06:55:24 UTC
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