Anita Rao
Controlled Substance Registration - Physician
Indiana 01070557B Active
This Indiana license is held by Anita Rao. The license is currently active. It was granted on 01/11/2012 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01070557B
- Category: CSR-Physician
- Status: Active
- Date Granted: 01/11/2012 (over 14 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
3631 Willowcreek Rd., Portage IN 46368