Indiana
Professional Licensing Agency
Balakrishna Shivashanker Bangalore
Controlled Substance Registration - Physician
License number
01063540B
Date granted
04/11/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Reid Hospital, 1100 Reid Parkway, Richmond IN 47374
indianalicensing.org
ID 5912604
LAST UPDATED 2024-04-29 04:17:40 UTC
LAST UPDATED 2024-04-29 04:17:40 UTC
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