Indiana
Professional Licensing Agency
Rani John Puthenveetil
Controlled Substance Registration - Physician
License number
01041037B
Date granted
07/09/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ABJVA Outpatient Clinic, 9330 Broadway Crown Pt., Crown Point IN 46307
indianalicensing.org
ID 5841836
LAST UPDATED 2024-03-13 18:46:43 UTC
LAST UPDATED 2024-03-13 18:46:43 UTC
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