Indiana
Professional Licensing Agency
Suvarna Nomula
Controlled Substance Registration - Physician
License number
01055177B
Date granted
03/05/2002
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
South Eastern Medical Center, 4020 Calumet Ave., Hammond IN 46320
indianalicensing.org
ID 5865490
LAST UPDATED 2026-06-23 08:01:40 UTC
LAST UPDATED 2026-06-23 08:01:40 UTC
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