License holder summary

Hirenkumar Damjibhai Italia is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Hirenkumar Damjibhai Italia is Doctors Express Granger, 7115 Haritage Square Dr # 1250, Granger IN 46530. This licensed professional license is current. The license was granted 06/26/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Hirenkumar Damjibhai Italia
Controlled Substance Registration - Physician
License number
01071167C
Date granted
06/26/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Doctors Express Granger, 7115 Haritage Square Dr # 1250, Granger IN 46530
indianalicensing.org
ID 5859501
LAST UPDATED 2024-04-02 21:17:38 UTC

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