Indiana
Professional Licensing Agency
Himmat T. Shah
Controlled Substance Registration - Physician
License number
01058121C
Date granted
11/10/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Fayette Mem Hosp, %K. Pflum, 1941 Virginia Ave., Connersville IN 47331
indianalicensing.org
ID 5837866
LAST UPDATED 2026-06-13 10:45:29 UTC
LAST UPDATED 2026-06-13 10:45:29 UTC
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