Sambasiva Rao Allada

Controlled Substance Registration - Physician

Indiana  01039061B   Expired

This Indiana license was held by Sambasiva Rao Allada. The license is no longer active. It was granted on 05/09/1991 and expired on 06/30/1995

LICENSE DETAILS

  • License Number: 01039061B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 05/09/1991 (almost 34 years ago)
  • Expiry Date: 06/30/1995 (almost 30 years ago)

LOCATIONS

A Address

V A MEDICAL CENTER, 2121 LAKE AVENUE, FORT WAYNE IN 46805