FORT WAYNE MEDICAL ONCOLOGY & HEMATOLOGY, INC
Pharmacy Board - Csr
Indiana 61100419B Expired
This Indiana license was held by FORT WAYNE MEDICAL ONCOLOGY & HEMATOLOGY, INC. The license is no longer active. It was granted on 06/13/2002 and expired on 12/31/2011
LICENSE DETAILS
- License Number: 61100419B
- Category: CSR
- Status: Expired
- Date Granted: 06/13/2002 (about 24 years ago)
- Expiry Date: 12/31/2011 (over 14 years ago)
LOCATIONS
A Address
SREENIVASA NATTAM, M.D., 4402 EAST STATE BLVD, Fort Wayne IN 46815