Indiana
Professional Licensing Agency
Anil R. Shah
Controlled Substance Registration - Physician
License number
01066901B
Date granted
06/24/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ENT Clinic, 5500 Hohman Avenue, Ste 2A, Hammond IN 46320
indianalicensing.org
ID 5863403
LAST UPDATED 2026-04-10 05:54:58 UTC
LAST UPDATED 2026-04-10 05:54:58 UTC
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