Mini Sivadasan

Controlled Substance Registration - Physician

Indiana  01068886B   Active

This Indiana license is held by Mini Sivadasan. The license is currently active. It was granted on 10/14/2010 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01068886B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 10/14/2010 (over 14 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

St. Margaret Mercy Healthcare Centers, 5454 Hohman Avenue, Hammond IN 46320