Indiana
Professional Licensing Agency
Prameela Botla
Controlled Substance Registration - Physician
License number
01044129B
Date granted
07/27/1995
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
121 TULIP LANE, MUNSTER IN 46321
indianalicensing.org
ID 5901217
LAST UPDATED 2026-06-12 11:24:07 UTC
LAST UPDATED 2026-06-12 11:24:07 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.