Indiana
Professional Licensing Agency
Neha Shardul Gavin
Controlled Substance Registration - Physician
License number
01066631B
Date granted
03/26/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
South Pavilion, 2505 North Lebanon Street, Suite 220, Lebanon IN 46052
indianalicensing.org
ID 5883964
LAST UPDATED 2024-03-29 13:17:09 UTC
LAST UPDATED 2024-03-29 13:17:09 UTC
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