Indiana
Professional Licensing Agency
Namita Gupta
Controlled Substance Registration - Physician
License number
01073799B
Date granted
04/14/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Elkhart General Hospital, 600 East Blvd, Elkhart IN 46514
indianalicensing.org
ID 27704300
LAST UPDATED 2024-05-06 18:12:53 UTC
LAST UPDATED 2024-05-06 18:12:53 UTC
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