License holder summary

Prashanthi Reddy Bolla is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Prashanthi Reddy Bolla is VA Northern Indiana Health Care System, Marion IN, 13260 All American Road, Noblesville IN 46060. This licensed professional license is not current. The license was granted 01/26/2005 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Prashanthi Reddy Bolla
Controlled Substance Registration - Physician
License number
01059850B
Date granted
01/26/2005
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
VA Northern Indiana Health Care System, Marion IN, 13260 All American Road, Noblesville IN 46060
indianalicensing.org
ID 5907195
LAST UPDATED 2024-03-25 13:59:39 UTC

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