Indiana
Professional Licensing Agency
Shashikumar R.H. Gowda
Controlled Substance Registration - Physician
License number
01045040B
Date granted
05/23/1996
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5815 CALUMET AVENUE, HAMMOND IN 46325
indianalicensing.org
ID 5865372
LAST UPDATED 2024-03-02 16:48:55 UTC
LAST UPDATED 2024-03-02 16:48:55 UTC
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