Indiana
Professional Licensing Agency
Dipak T. Shah
Controlled Substance Registration - Physician
License number
01055335B
Date granted
03/27/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Margaret Mercy Hospital, 5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5863781
LAST UPDATED 2024-03-05 16:56:45 UTC
LAST UPDATED 2024-03-05 16:56:45 UTC
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