License holder summary

Poornima Subramanyam is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Poornima Subramanyam is POORNIMA SUBRAMANYAM, 11922, Dubarry Drive, Carmel IN 46033. This licensed professional license is current. The license was granted 04/15/1999 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Poornima Subramanyam
Controlled Substance Registration - Physician
License number
01049617B
Date granted
04/15/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
POORNIMA SUBRAMANYAM, 11922, Dubarry Drive, Carmel IN 46033
indianalicensing.org
ID 5831659
LAST UPDATED 2024-03-13 14:18:34 UTC

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