Indiana
Professional Licensing Agency
Sunil Kumar Gollapudi
Controlled Substance Registration - Physician
License number
01053653C
Date granted
08/22/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
DSI Blue River Valley Dialysis Center, 2309 S. Miller Street, Suite. 100, Shelbyville IN 46176
indianalicensing.org
ID 5919485
LAST UPDATED 2024-03-21 06:47:39 UTC
LAST UPDATED 2024-03-21 06:47:39 UTC
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