Indiana
Professional Licensing Agency
Surendar Dwarakanathan
Controlled Substance Registration - Physician
License number
01073633B
Date granted
05/09/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Methodist Hospital Attn: Kimberly Edwards, 600 Grant Street, Gary IN 46402
indianalicensing.org
ID 27706799
LAST UPDATED 2024-02-21 01:36:57 UTC
LAST UPDATED 2024-02-21 01:36:57 UTC
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