License holder summary

Bansari Hasendra Shah is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Bansari Hasendra Shah is Franciscan St. Anthony Health, 301 West Homer Street, Michigan City IN 46360. This licensed professional license is not current. The license was granted 08/20/2012 and expired on 10/31/2013.

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

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