License holder summary

Pavan Pinnamaneni is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Pavan Pinnamaneni is 1205 South Main Street # 101, Crown Point IN 46307-3677. This licensed professional license is current. The license was granted 06/10/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Pavan Pinnamaneni
Controlled Substance Registration - Physician
License number
01066113B
Date granted
06/10/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1205 South Main Street # 101, Crown Point IN 46307-3677
indianalicensing.org
ID 5841750
LAST UPDATED 2024-05-15 18:51:52 UTC

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