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 2026-06-07 03:13:44 UTC
LAST UPDATED 2026-06-07 03:13:44 UTC
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