License holder summary

Fatima Siddique Shah is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Fatima Siddique Shah is Highway 41 Coalmine Road, RR 2 P.O. Box 700, Fort Branch IN 47648. This licensed professional license is not current. The license was granted 07/23/2001 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Fatima Siddique Shah
Controlled Substance Registration-Osteopathic Physician
License number
02002332B
Date granted
07/23/2001
Date expires
06/30/2007
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Highway 41 Coalmine Road, RR 2 P.O. Box 700, Fort Branch IN 47648
indianalicensing.org
ID 5800164
LAST UPDATED 2024-03-05 17:02:28 UTC

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