Indiana
Professional Licensing Agency
Sue Pallekonda
Controlled Substance Registration - Physician
License number
01058024B
Date granted
09/08/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11501 Cumberland Rd # 500, Fishers IN 46038
indianalicensing.org
ID 5852335
LAST UPDATED 2024-02-21 05:02:40 UTC
LAST UPDATED 2024-02-21 05:02:40 UTC
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