Indiana
Professional Licensing Agency
Bansari Hasendra Shah
Controlled Substance Registration - Physician
License number
01071606B
Date granted
08/20/2012
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Franciscan St. Anthony Health, 301 West Homer Street, Michigan City IN 46360
indianalicensing.org
ID 5892239
LAST UPDATED 2024-04-17 08:46:32 UTC
LAST UPDATED 2024-04-17 08:46:32 UTC
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