Indiana
Professional Licensing Agency
Rajesh Mallela
Controlled Substance Registration - Physician
License number
01055567C
Date granted
04/18/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Howard Regional Health, 3600 S. LaFountain Street, Kokomo IN 46902
indianalicensing.org
ID 5876925
LAST UPDATED 2024-03-13 00:55:55 UTC
LAST UPDATED 2024-03-13 00:55:55 UTC
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