Indiana
Professional Licensing Agency
Anand Anilkumar Shah
Controlled Substance Registration - Physician
License number
01074246C
Date granted
07/28/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Care Ctr., 9660 Wicker Avenue, Saint John IN 46373
indianalicensing.org
ID 27719092
LAST UPDATED 2024-03-12 17:11:23 UTC
LAST UPDATED 2024-03-12 17:11:23 UTC
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