Indiana
Professional Licensing Agency
Prasanthi Tummuru
Controlled Substance Registration - Physician
License number
01065776C
Date granted
06/19/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter, 85 East Highway 6, Valparaiso IN 46383
indianalicensing.org
ID 5929561
LAST UPDATED 2024-02-24 07:33:05 UTC
LAST UPDATED 2024-02-24 07:33:05 UTC
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