Indiana
Professional Licensing Agency
Shesha Kalyan Katakam
Controlled Substance Registration - Physician
License number
01073004B
Date granted
07/29/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU Health Laporte Physicians, 1509 State Street, La Porte IN 46350
indianalicensing.org
ID 5878500
LAST UPDATED 2024-01-25 12:29:32 UTC
LAST UPDATED 2024-01-25 12:29:32 UTC
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