Ajith Kumar Puram
Controlled Substance Registration - Physician
Indiana 01070965B Active
This Indiana license is held by Ajith Kumar Puram. The license is currently active. It was granted on 05/21/2012 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01070965B
- Category: CSR-Physician
- Status: Active
- Date Granted: 05/21/2012 (about 13 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
200 High Avenue, Ste B, Goshen IN 46526
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