Indiana
Professional Licensing Agency
S REDDY MARRI
Controlled Substance Registration - Physician
License number
01030048B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northridge Medical Group, 1704 LAFAYETTE ROAD, Crawfordsville IN 47933
indianalicensing.org
ID 5840592
LAST UPDATED 2024-04-26 19:34:38 UTC
LAST UPDATED 2024-04-26 19:34:38 UTC
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