Indiana
Professional Licensing Agency
Subbareddy Puchalapalli
Controlled Substance Registration - Physician
License number
01046393B
Date granted
04/10/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Regional Family Medical Center, 2250 East Wabash Avenue, Terre Haute IN 47807
indianalicensing.org
ID 5926708
LAST UPDATED 2026-05-15 17:25:31 UTC
LAST UPDATED 2026-05-15 17:25:31 UTC
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