Indiana
Professional Licensing Agency
Mridula Prasad
Controlled Substance Registration - Physician
License number
01032446B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
200 East 89th Avenue, Merrillville IN 46410
indianalicensing.org
ID 5891114
LAST UPDATED 2024-01-31 20:27:27 UTC
LAST UPDATED 2024-01-31 20:27:27 UTC
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