License holder summary

MRUDULA B DESAI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MRUDULA B DESAI is 320 SOUTH FIFTH AVENUE, P O BOX 628, PRINCETON IN 47670. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

MRUDULA B DESAI
Controlled Substance Registration - Physician
License number
01030889B
Date granted
07/31/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
320 SOUTH FIFTH AVENUE, P O BOX 628, PRINCETON IN 47670
indianalicensing.org
ID 5911930
LAST UPDATED 2024-05-03 18:08:07 UTC

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