Indiana
Professional Licensing Agency
Sudhir Malik
Controlled Substance Registration - Physician
License number
01042538B
Date granted
07/15/1996
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ALLIED PHSYCIANS/FT WAYNE NEUROLOGICAL, 2622 LAKE AVE, FORT WAYNE IN 46805
indianalicensing.org
ID 5854569
LAST UPDATED 2024-03-19 00:36:09 UTC
LAST UPDATED 2024-03-19 00:36:09 UTC
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