KANNAN KANDALLU

Controlled Substance Registration - Physician

Indiana  01046704B   Active

This Indiana license is held by KANNAN KANDALLU. The license is currently active. It was granted on 05/22/1997 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01046704B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 05/22/1997 (about 28 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

ST MARGARET MERCY HEALTHCARE CENTER, 5454 HOHMAN AVE, HAMMOND IN 46320