Prasanthi Tummuru
Controlled Substance Registration - Physician
Indiana 01065776B Expired
This Indiana license was held by Prasanthi Tummuru. The license is no longer active. It was granted on 09/02/2008 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01065776B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/02/2008 (almost 17 years ago)
- Expiry Date: 06/30/2011 (almost 14 years ago)
LOCATIONS
A Address
Medical Staff Office Porter Memorial Hospital, 814 Laporte Ave., Valparaiso IN 46383