License holder summary

Reddy Rupa Pallavala is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Reddy Rupa Pallavala is Community Physician Network, 3000 State Rd. 135,, Greenwood IN 46143. This licensed professional license is current. The license was granted 04/15/2014 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Reddy Rupa Pallavala
Controlled Substance Registration - Physician
License number
01073752B
Date granted
04/15/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Physician Network, 3000 State Rd. 135,, Greenwood IN 46143
indianalicensing.org
ID 27708013
LAST UPDATED 2024-04-28 22:51:54 UTC

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