Indiana
Professional Licensing Agency
Surjit R. Moolamalla
Controlled Substance Registration - Physician
License number
01053146C
Date granted
04/01/2002
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Cass County Medical Center, 12 Chase Park, Logansport IN 46947
indianalicensing.org
ID 5885840
LAST UPDATED 2026-04-06 21:50:00 UTC
LAST UPDATED 2026-04-06 21:50:00 UTC
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