Praveen Kollipara
Controlled Substance Registration - Physician
Indiana 01046718E Expired
This Indiana license was held by Praveen Kollipara. The license is no longer active. It was granted on 07/20/2001 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01046718E
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/20/2001 (almost 24 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
FT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY INC, 516 EAST MAUMEE, Angola IN 46703