License holder summary

Subbarao Venkata Dasari is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Subbarao Venkata Dasari is PEDS STAT, 950 WEST NORTH STREET, Kendallville IN 46755. This licensed professional license is not current. The license was granted 07/17/2000 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Subbarao Venkata Dasari
Controlled Substance Registration - Physician
License number
01051139D
Date granted
07/17/2000
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PEDS STAT, 950 WEST NORTH STREET, Kendallville IN 46755
indianalicensing.org
ID 5875089
LAST UPDATED 2024-03-14 21:48:49 UTC

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