PRAVIN GUPTA
Controlled Substance Registration - Physician
Indiana 01039588B Active
This Indiana license is held by PRAVIN GUPTA. The license is currently active. It was granted on 10/01/1991 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01039588B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/01/1991 (over 33 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
929 RIDGE ROAD SUITE 6, MUNSTER IN 46321
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