Vivek Mishra

Controlled Substance Registration - Physician

Indiana  01060036C   Active

This Indiana license is held by Vivek Mishra. The license is currently active. It was granted on 10/11/2011 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01060036C
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 10/11/2011 (over 12 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

Porter Memorial Hospital, 825 E Lincolnway, Valparaiso IN 46383