License holder summary

Dipak T. Shah is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dipak T. Shah is St. Margaret Mercy Hospital, 5454 Hohman Avenue, Hammond IN 46320. This licensed professional license is current. The license was granted 03/27/2002 and expired on 10/31/2015.

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

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