Indiana
Professional Licensing Agency
P Poovendran
Controlled Substance Registration - Physician
License number
01036408B
Date granted
04/07/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
832 Foxbrian Lane, Goshen IN 46526-5505
indianalicensing.org
ID 5859034
LAST UPDATED 2024-03-11 01:29:27 UTC
LAST UPDATED 2024-03-11 01:29:27 UTC
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