License holder summary

Praveen Kollipara is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Praveen Kollipara is FT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY INC, 516 EAST MAUMEE, Angola IN 46703. This licensed professional license is not current. The license was granted 07/20/2001 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Praveen Kollipara
Controlled Substance Registration - Physician
License number
01046718E
Date granted
07/20/2001
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY INC, 516 EAST MAUMEE, Angola IN 46703
indianalicensing.org
ID 5818743
LAST UPDATED 2024-04-09 15:14:53 UTC

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