License holder summary

RAJENDRAPRASAD V MAKAM is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RAJENDRAPRASAD V MAKAM is 1420 SOUTH PILGRIM BLVD, YORKTOWN IN 47396. This licensed professional license is not current. The license was granted 07/01/1996 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

RAJENDRAPRASAD V MAKAM
Controlled Substance Registration - Physician
License number
01045357B
Date granted
07/01/1996
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1420 SOUTH PILGRIM BLVD, YORKTOWN IN 47396
indianalicensing.org
ID 5936530
LAST UPDATED 2026-04-14 21:40:13 UTC

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