License holder summary

Venkat R. Vavilala is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Venkat R. Vavilala is Nephrology Assoc of Northern Ind, 8668 Broadway, Merrillville IN 46410. This licensed professional license is current. The license was granted 06/26/2003 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Venkat R. Vavilala
Controlled Substance Registration - Physician
License number
01057614B
Date granted
06/26/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Nephrology Assoc of Northern Ind, 8668 Broadway, Merrillville IN 46410
indianalicensing.org
ID 5891830
LAST UPDATED 2024-04-18 10:19:33 UTC

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