License holder summary

MITTA PRATHYUSHA REDDY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MITTA PRATHYUSHA REDDY is 207 W 13T STREET, JEFFERSONVILLE IN 47130. This licensed professional license is not current. The license was granted 11/28/1979 and expired on 03/31/1984.

Indiana

Professional Licensing Agency

MITTA PRATHYUSHA REDDY
Controlled Substance Registration - Physician
License number
01029879B
Date granted
11/28/1979
Date expires
03/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
207 W 13T STREET, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873790
LAST UPDATED 2024-04-14 14:05:59 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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