License holder summary

Modupe A. Cassandra Popoola is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Modupe A. Cassandra Popoola is Main Street Medical Group, 6913 North Main Street, Granger IN 46530. This licensed professional license is current. The license was granted 04/21/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Modupe A. Cassandra Popoola
Controlled Substance Registration - Physician
License number
01060531B
Date granted
04/21/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Main Street Medical Group, 6913 North Main Street, Granger IN 46530
indianalicensing.org
ID 5859616
LAST UPDATED 2024-04-29 03:05:12 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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