Indiana
Professional Licensing Agency
Suganthi Eswaramoorthy
Controlled Substance Registration - Physician
License number
01059086B
Date granted
05/18/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Dyer Medical Svcs, 840 Richard Rd., Ste 2, Dyer IN 46311
indianalicensing.org
ID 5844696
LAST UPDATED 2026-04-25 21:17:14 UTC
LAST UPDATED 2026-04-25 21:17:14 UTC
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