Indiana
Professional Licensing Agency
Vijaya Kishore Rasamallu
Controlled Substance Registration - Physician
License number
01071365B
Date granted
06/29/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Memorial Hosptial & Health Care Center, 800 West 9th Street, Jasper IN 47546
indianalicensing.org
ID 5872226
LAST UPDATED 2024-03-29 23:39:25 UTC
LAST UPDATED 2024-03-29 23:39:25 UTC
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