License holder summary

Vijay Gopal Tilak Kamineni is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Vijay Gopal Tilak Kamineni is Northeast Internal Medicine, P.C., 2500 N. Detroit Street, Lagrange IN 46761. This licensed professional license is current. The license was granted 03/02/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Vijay Gopal Tilak Kamineni
Controlled Substance Registration - Physician
License number
01061449B
Date granted
03/02/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northeast Internal Medicine, P.C., 2500 N. Detroit Street, Lagrange IN 46761
indianalicensing.org
ID 5881136
LAST UPDATED 2024-05-03 01:01:27 UTC

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