License holder summary

Meghasyamarao Theertham is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Meghasyamarao Theertham is Providence Medical Group, 2723 S. 7th St., Terre Haute IN 47802. This licensed professional license is not current. The license was granted 10/05/1994 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Meghasyamarao Theertham
Controlled Substance Registration - Physician
License number
01043131B
Date granted
10/05/1994
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Providence Medical Group, 2723 S. 7th St., Terre Haute IN 47802
indianalicensing.org
ID 5926023
LAST UPDATED 2024-04-12 03:29:39 UTC

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