License holder summary

RAJENDRA S PENNEPALLI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RAJENDRA S PENNEPALLI is METHODIST HOSP, 600 GRANT STREET, GARY IN 46402. This licensed professional license is not current. The license was granted 12/20/1984 and expired on 01/31/1986.

Indiana

Professional Licensing Agency

RAJENDRA S PENNEPALLI
Controlled Substance Registration - Physician
License number
01034038B
Date granted
12/20/1984
Date expires
01/31/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
METHODIST HOSP, 600 GRANT STREET, GARY IN 46402
indianalicensing.org
ID 5857387
LAST UPDATED 2024-03-28 21:54:40 UTC

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