License holder summary

VENKATESWARA R KANUBADDI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for VENKATESWARA R KANUBADDI is VA Medical Center, 2121 Lake Avenue, Fort Wayne IN 46805. This licensed professional license is not current. The license was granted 01/31/1983 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

VENKATESWARA R KANUBADDI
Controlled Substance Registration - Physician
License number
01028849B
Date granted
01/31/1983
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
VA Medical Center, 2121 Lake Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 5854679
LAST UPDATED 2024-03-18 18:32:33 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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