Indiana
Professional Licensing Agency
Preetham Jetty
Controlled Substance Registration - Physician
License number
01040154B
Date granted
04/15/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Heart & Vascular, 1210B Medical Arts Blvd Ste 217, Anderson IN 46011
indianalicensing.org
ID 5817878
LAST UPDATED 2026-06-15 22:56:23 UTC
LAST UPDATED 2026-06-15 22:56:23 UTC
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