Kiran Srirama
Controlled Substance Registration - Physician
Indiana 01052615B Expired
This Indiana license was held by Kiran Srirama. The license is no longer active. It was granted on 07/06/2000 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01052615B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/06/2000 (almost 25 years ago)
- Expiry Date: 06/30/2001 (almost 24 years ago)
LOCATIONS
A Address
TATUM FAMILY HEALTH CENTER, 1619 WEST 5TH AVENUE, Gary IN 46404