Indiana
Professional Licensing Agency
Rathi Priya Mahendran
Controlled Substance Registration - Physician
License number
01054397B
Date granted
01/08/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
831 N Theatre Drive, Marion IN 46952
indianalicensing.org
ID 5888595
LAST UPDATED 2024-02-04 08:49:12 UTC
LAST UPDATED 2024-02-04 08:49:12 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.