Indiana
Professional Licensing Agency
Siju T. Chacko
Controlled Substance Registration - Physician
License number
01064885B
Date granted
02/21/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9143 Indianapolis Blvd, Highland IN 46322
indianalicensing.org
ID 5866778
LAST UPDATED 2024-03-17 18:24:13 UTC
LAST UPDATED 2024-03-17 18:24:13 UTC
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