Indiana
Professional Licensing Agency
Frank Bradley Shahbahrami, Jr.
Controlled Substance Registration - Physician
License number
01051200B
Date granted
08/09/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Bloomington Hospital-Dept. of Anesthesia, 601 West 2nd Street, Bloomington IN 47403
indianalicensing.org
ID 5824310
LAST UPDATED 2024-04-03 17:23:06 UTC
LAST UPDATED 2024-04-03 17:23:06 UTC
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