Indiana
Professional Licensing Agency
Padma Ponugoti
Controlled Substance Registration - Physician
License number
01049944B
Date granted
02/11/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana Eye Specialists, 76 West Springhill Drive, Terre Haute IN 47802
indianalicensing.org
ID 5926188
LAST UPDATED 2024-02-08 18:34:31 UTC
LAST UPDATED 2024-02-08 18:34:31 UTC
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