License holder summary

Supraja Rao Gulla is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Supraja Rao Gulla is IU Health West Hospital, 1111 North Ronald Regan Pkwy, Avon IN 46123. This licensed professional license is current. The license was granted 06/27/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Supraja Rao Gulla
Controlled Substance Registration - Physician
License number
01069786B
Date granted
06/27/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU Health West Hospital, 1111 North Ronald Regan Pkwy, Avon IN 46123
indianalicensing.org
ID 5820707
LAST UPDATED 2026-05-09 20:35:11 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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