Indiana
Professional Licensing Agency
Bhanukumar C. Shah
Controlled Substance Registration - Physician
License number
01060167B
Date granted
01/28/2005
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Fayette Memorial Hospital attn: Pslum, 1941 Virginia Avenue, Connersville IN 47331
indianalicensing.org
ID 5837640
LAST UPDATED 2024-02-21 23:25:17 UTC
LAST UPDATED 2024-02-21 23:25:17 UTC
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