License holder summary

P RAO GUMMADI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for P RAO GUMMADI is Preferred Anesthesia Consultants, 1818 CAREW STREET #220, FORT WAYNE IN 46805. This licensed professional license is current. The license was granted 08/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

P RAO GUMMADI
Controlled Substance Registration - Physician
License number
01030939B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Preferred Anesthesia Consultants, 1818 CAREW STREET #220, FORT WAYNE IN 46805
indianalicensing.org
ID 5854142
LAST UPDATED 2024-02-27 15:54:33 UTC

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