Indiana
Professional Licensing Agency
Pradeep Durgacharan Marballi
Controlled Substance Registration - Physician
License number
01047934B
Date granted
12/04/1997
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4733 SOUTH 7TH STREET, Terre Haute IN 47802
indianalicensing.org
ID 5926253
LAST UPDATED 2024-03-23 00:24:17 UTC
LAST UPDATED 2024-03-23 00:24:17 UTC
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