Indiana
Professional Licensing Agency
Abdali Shakoor Jan
Controlled Substance Registration - Physician
License number
01051996B
Date granted
10/25/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2500 N. Detroit St. P.O. Box 236, Lagrange IN 46761
indianalicensing.org
ID 5880938
LAST UPDATED 2024-04-27 06:59:29 UTC
LAST UPDATED 2024-04-27 06:59:29 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.