License holder summary

PRAVIN GUPTA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PRAVIN GUPTA is 929 RIDGE ROAD SUITE 6, MUNSTER IN 46321. This licensed professional license is current. The license was granted 10/01/1991 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

PRAVIN GUPTA
Controlled Substance Registration - Physician
License number
01039588B
Date granted
10/01/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
929 RIDGE ROAD SUITE 6, MUNSTER IN 46321
indianalicensing.org
ID 5901232
LAST UPDATED 2024-03-14 02:44:47 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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