Indiana
Professional Licensing Agency
Venu M. Madhipatla
Controlled Substance Registration - Physician
License number
01067687B
Date granted
01/12/2010
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Pain Management Center of Southern Indiana, 12 W Main Street, Bloomfield IN 47424
indianalicensing.org
ID 5823644
LAST UPDATED 2024-03-30 14:02:37 UTC
LAST UPDATED 2024-03-30 14:02:37 UTC
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