Indiana
Professional Licensing Agency
Sumathi Parvataneni
Temporary Medical Doctor Permit
License number
99015196A
Date granted
12/17/2004
Date expires
03/17/2005
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Fort Wayne IN 46805
indianalicensing.org
ID 6131329
LAST UPDATED 2026-05-13 03:18:55 UTC
LAST UPDATED 2026-05-13 03:18:55 UTC
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