Anil Gupta

Controlled Substance Registration - Physician

Indiana  01070862B   Active

This Indiana license is held by Anil Gupta. The license is currently active. It was granted on 04/02/2012 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01070862B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 04/02/2012 (about 12 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

1704 North Lafayette Rd. Suite# 4, Crawfordsville IN 47933