License holder summary

Srinivasa R Malyala is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Srinivasa R Malyala is Richland Manor, 7011 South Shelly Street, Terre Haute IN 47802. This licensed professional license is current. The license was granted 12/18/1989 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Srinivasa R Malyala
Controlled Substance Registration - Physician
License number
01031686B
Date granted
12/18/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Richland Manor, 7011 South Shelly Street, Terre Haute IN 47802
indianalicensing.org
ID 5926632
LAST UPDATED 2024-04-28 07:35:11 UTC

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