AJAY SATGUR GUPTA

Controlled Substance Registration - Physician

Indiana  01037375B   Active

This Indiana license is held by AJAY SATGUR GUPTA. The license is currently active. It was granted on 05/17/1989 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01037375B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 05/17/1989 (almost 36 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Allied Physicians, Inc., 11104 Parkview Circle Drive, Suite 110, Fort Wayne IN 46845