PRAKASH SHANKAR BHOOPALAM
Controlled Substance Registration - Physician
Indiana 01040631B Active
This Indiana license is held by PRAKASH SHANKAR BHOOPALAM. The license is currently active. It was granted on 10/23/1992 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01040631B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/23/1992 (over 31 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
2525 W UNIVERSITY SUITE 404, MUNCIE IN 47303
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