Venkat R. Vavilala
Controlled Substance Registration - Physician
Indiana 01057614B Active
This Indiana license is held by Venkat R. Vavilala. The license is currently active. It was granted on 06/26/2003 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01057614B
- Category: CSR-Physician
- Status: Active
- Date Granted: 06/26/2003 (about 22 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Nephrology Assoc of Northern Ind, 8668 Broadway, Merrillville IN 46410
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