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