License holder summary

Shyam Mohan Puppala is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shyam Mohan Puppala is 3724 MAIN STREET, EAST CHICAGO IN 46312. This licensed professional license is not current. The license was granted 06/25/1985 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Shyam Mohan Puppala
Controlled Substance Registration - Physician
License number
01033139B
Date granted
06/25/1985
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3724 MAIN STREET, EAST CHICAGO IN 46312
indianalicensing.org
ID 5846193
LAST UPDATED 2026-04-30 07:42:10 UTC

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