License holder summary

Anjali Shailesh Godambe is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Anjali Shailesh Godambe is AmeriPath Indiana, 2560 North Shadeland Avenue, Suite A, Indianapolis IN 46219. This licensed professional license is current. The license was granted 07/19/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Anjali Shailesh Godambe
Controlled Substance Registration-Osteopathic Physician
License number
02004267B
Date granted
07/19/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
AmeriPath Indiana, 2560 North Shadeland Avenue, Suite A, Indianapolis IN 46219
indianalicensing.org
ID 5803847
LAST UPDATED 2024-03-11 11:25:30 UTC

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