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 The license is no longer active.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