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
LAST UPDATED 2024-03-11 11:25:30 UTC
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