Mallik V. V. A. S. Chaganti

Controlled Substance Registration - Physician

Indiana  01055341B   Active

This Indiana license is held by Mallik V. V. A. S. Chaganti. The license is currently active. It was granted on 06/04/2002 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01055341B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/04/2002 (about 24 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

Clinic of Family Medicine, 1103 E. Grace St., Rensselaer IN 47978