Indiana
Professional Licensing Agency
Suvarnarekha A. Kammula
Controlled Substance Registration - Physician
License number
01051272B
Date granted
08/19/1999
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
HAMMOND HLTH CNTR FAM CARE CNTR IND MCO, 5500 HOHMAN AVE STE 2-G, HAMMOND IN 46320
indianalicensing.org
ID 5865494
LAST UPDATED 2026-06-08 05:20:18 UTC
LAST UPDATED 2026-06-08 05:20:18 UTC
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