Indiana
Professional Licensing Agency
Niraj Gupta
Controlled Substance Registration - Physician
License number
01062714C
Date granted
08/31/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
American Health Network of Indiana, LLC, 1706 Lafayette Road, Crawfordsville IN 47933
indianalicensing.org
ID 5840425
LAST UPDATED 2024-03-26 15:05:37 UTC
LAST UPDATED 2024-03-26 15:05:37 UTC
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