Pramod Vasant Prabhu
Controlled Substance Registration - Physician
Indiana 01039835B Expired
This Indiana license was held by Pramod Vasant Prabhu. The license is no longer active. It was granted on 09/29/1997 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01039835B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/29/1997 (over 28 years ago)
- Expiry Date: 06/30/2007 (almost 19 years ago)
LOCATIONS
A Address
2227 SHERMAN DRIVE, Princeton IN 47670