License holder summary

Venkatachala N. Vitalpur is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Venkatachala N. Vitalpur is 2431 Barcroft Ct., Fort Wayne IN 46804. This licensed professional license is current. The license was granted 06/18/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Venkatachala N. Vitalpur
Controlled Substance Registration - Physician
License number
01029983B
Date granted
06/18/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2431 Barcroft Ct., Fort Wayne IN 46804
indianalicensing.org
ID 5854676
LAST UPDATED 2024-03-11 20:19:07 UTC

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