Samir Gupta
Controlled Substance Registration - Physician
Indiana 01058932B Active
This Indiana license is held by Samir Gupta. The license is currently active. It was granted on 04/07/2004 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01058932B
- Category: CSR-Physician
- Status: Active
- Date Granted: 04/07/2004 (about 21 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Porter Starke Services, INC., 601 Wall Street, Valparaiso IN 46383
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