Indiana
Professional Licensing Agency
P RAO GUMMADI MD INC
Medical Licensing Board - Medical Corporation
License number
50002228A
Date granted
12/23/1981
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2330 BEACON STREET #109, FORT WAYNE IN 46805
indianalicensing.org
ID 24826857
LAST UPDATED 2024-04-04 07:05:29 UTC
LAST UPDATED 2024-04-04 07:05:29 UTC
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