Srinivasa R Malyala
Controlled Substance Registration - Physician
Indiana 01031686B Active
This Indiana license is held by Srinivasa R Malyala. The license is currently active. It was granted on 12/18/1989 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01031686B
- Category: CSR-Physician
- Status: Active
- Date Granted: 12/18/1989 (over 34 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
Richland Manor, 7011 South Shelly Street, Terre Haute IN 47802
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