License holder summary

Renu Rachel Kuruvilla Mathews is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Renu Rachel Kuruvilla Mathews is DR FROBERG, 324 NORTH 25TH STREET, Lafayette IN 47904. This licensed professional license is not current. The license was granted 04/24/2001 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Renu Rachel Kuruvilla Mathews
Controlled Substance Registration - Physician
License number
01053955B
Date granted
04/24/2001
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
DR FROBERG, 324 NORTH 25TH STREET, Lafayette IN 47904
indianalicensing.org
ID 11954828
LAST UPDATED 2024-02-20 08:17:21 UTC

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