Indiana
Professional Licensing Agency
Sridhar Banuru
Controlled Substance Registration - Physician
License number
01055614C
Date granted
06/22/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
The Heart Group, 4007 Gateway Blvd, Newburgh IN 47630
indianalicensing.org
ID 5906375
LAST UPDATED 2024-04-16 19:07:40 UTC
LAST UPDATED 2024-04-16 19:07:40 UTC
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