Suvarnarekha A. Kammula
Controlled Substance Registration - Physician
Indiana 01051272B Expired
This Indiana license was held by Suvarnarekha A. Kammula. The license is no longer active. It was granted on 08/19/1999 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01051272B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/19/1999 (almost 26 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
HAMMOND HLTH CNTR FAM CARE CNTR IND MCO, 5500 HOHMAN AVE STE 2-G, HAMMOND IN 46320