Indiana
Professional Licensing Agency
Nagarathna Prabhuram
Physician
License number
01065368A
Date granted
05/30/2008
Date expires
06/30/2009
Class
Physician
Status
Expired Non-Renewable
Address
Franklin Park NJ 08823
indianalicensing.org
ID 6055124
LAST UPDATED 2026-06-01 11:32:39 UTC
LAST UPDATED 2026-06-01 11:32:39 UTC
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