License holder summary

Sridevi Sompalli is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Sridevi Sompalli is 620 W. Edison Rd., Ste 110, Mishawaka IN 46545. This licensed professional license is current. The license was granted 05/31/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Sridevi Sompalli
Controlled Substance Registration - Physician
License number
01069685B
Date granted
05/31/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
620 W. Edison Rd., Ste 110, Mishawaka IN 46545
indianalicensing.org
ID 5895901
LAST UPDATED 2024-03-18 18:19:31 UTC

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