HARINATH MALLAVARAPU

Controlled Substance Registration - Physician

Indiana  01043422B   Expired

This Indiana license was held by HARINATH MALLAVARAPU. The license is no longer active. It was granted on 01/26/1995 and expired on 06/30/1999

LICENSE DETAILS

  • License Number: 01043422B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 01/26/1995 (over 29 years ago)
  • Expiry Date: 06/30/1999 (almost 25 years ago)

LOCATIONS

A Address

1704 LAFAYETTE ROAD # 1, CRAWFORDSVILLE IN 47933