License holder summary

SHANTALA S SREERAMA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SHANTALA S SREERAMA is FAMILY CARE CENTERS OF INDIANA, 5500 HOHMAN AVENUE STE 2G, HAMMOND IN 46320. This licensed professional license is not current. The license was granted 04/27/1999 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

SHANTALA S SREERAMA
Controlled Substance Registration - Physician
License number
01050525B
Date granted
04/27/1999
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FAMILY CARE CENTERS OF INDIANA, 5500 HOHMAN AVENUE STE 2G, HAMMOND IN 46320
indianalicensing.org
ID 5865370
LAST UPDATED 2024-03-18 08:48:56 UTC

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